Countryside Therapy Group, Inc

LBN: Countryside Therapy Group, Inc
Countryside Therapy Group, Inc is an health care organization with primary practice located at 515 W Lingleville Rd , Stephenville TX 76401-2211. The organization recently has 7 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Home Health, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty. Countryside Therapy Group, Inc can be contacted via phone (254) 965-3611, or through Montgomery, Laura via phone (254) 965-3611.

Contact Information

Primary practice address
515 W Lingleville Rd Stephenville TX 76401-2211
Phone: (254) 965-3611
Fax: (254) 965-3618
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Laura Registered Occupational Therapist (OTR)
Phone: (254) 965-3611

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Home Health 251E00000X 009330 Texas
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1710999289
LBN Legal business name Countryside Therapy Group, Inc
DBA Doing business as
Authorized official Montgomery, Laura Registered Occupational Therapist (OTR)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Apr 9th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710999289 NPPES
Texas MEDICAID 172242301

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