NPI age
5 years
Enumerated 2021-03-23
● Active Type 2 · Organization
Pediatric Therapy, Inc.
Pediatric Therapy, Inc. is 1 of 564 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Vp Of Operations
Last NPPES update
2021-03-23
Source: monthly bulk 2026-05
How this organization compares
Across 564 active clinic/center providers in Texas.
NPI age
5 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1302 Teasley Ln
Denton, TX 762057946
Mailing address
1302 Teasley Ln
Denton, TX 762057946
Authorized official
James Clark
Vp Of Operations
📞 8668321708
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Krystal Johnson, PTA Physical Therapy Assistant NPI 1659841591
- Anthony Lucio Occupational Therapist NPI 1508414772
- Kevin McCreary, M.ED., LPC Counselor NPI 1790815702
- Karina Nieto Physical Therapist NPI 1285255026
- Alena Samuels Occupational Therapist NPI 1982209441
- Kaylee Stone, RN Registered Nurse NPI 1467067652
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1255492864 |
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.