Hullabaloo Pediatric Therapy Pllc
LBN: Hullabaloo Pediatric Therapy Pllc
Hullabaloo Pediatric Therapy Pllc is an health care organization with primary practice located at 2035 Crockett Rd , Palestine TX 75801-5921. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Rehabilitation is the primary health care specialty.
Hullabaloo Pediatric Therapy Pllc can be contacted via phone (903) 723-3602, or through Grimsley, Kristi L. via phone (903) 391-8170.
Contact Information
Primary practice address
2035 Crockett Rd
Palestine TX 75801-5921
Phone: (903) 723-3602
Fax: (903) 731-9573
Website:
Authorized official contact:
Name: Grimsley, Kristi L. Physical Therapist (PT)
Phone: (903) 391-8170
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | 108561 | Texas |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 1099075 | Texas |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 1099075 | Texas |
Profile Details
| NPI number | 1073991964 |
|---|---|
| LBN Legal business name | Hullabaloo Pediatric Therapy Pllc |
| DBA Doing business as | |
| Authorized official | Grimsley, Kristi L. Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2015 |
| Last updated | Jan 15th, 2016 - about 8 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073991964 | NPPES |
| Texas | MEDICAID | 108015203 | |
| Texas | MEDICAID | 201775804 | |
| Texas | MEDICAID | 351507401 | |
| Texas | MEDICAID | 351990201 |
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