| Easter Seals Central Texas, Inc. | |
|
2324 Ridgepoint Dr Ste F1 Austin TX 78754-5214 | |
| (512) 615-6800 | |
| (512) 615-7121 |
| Full Name | Easter Seals Central Texas, Inc. |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 2324 Ridgepoint Dr Ste F1, Austin, Texas |
| Authorized Official Name and Position | Carol Khoury (CFO) |
| Authorized Official Contact | 5126156800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Central Texas, Inc. 633 3rd Ave Fl 6 New York NY 10017-6733 Ph: (512) 615-6800 | Easter Seals Central Texas, Inc. 2324 Ridgepoint Dr Ste F1 Austin TX 78754-5214 Ph: (512) 615-6800 |
| NPI Number | 1013991017 |
|---|---|
| Provider Enumeration Date | 12/02/2005 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Medicare PECOS PAC ID | 1355341116 |
|---|---|
| Medicare Enrollment ID | O20090626000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013991017 | NPI | - | NPPES |
| 021286202 | Medicaid | TX | |
| 126129901 | Medicaid | TX | |
| 004760702 | Medicaid | TX | |
| 0082CM | Other | TX | BLUE CROSS PROVIDER GROUP |
| 021286204 | Medicaid | TX | |
| 021286201 | Medicaid | TX | |
| 172268801 | Medicaid | TX |
| Provider Name | Norah Simpson Bowers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053530485 PECOS PAC ID: 6901957208 Enrollment ID: I20090626000261 |
| Provider Name | Holly L Steckbeck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821552290 PECOS PAC ID: 5193068229 Enrollment ID: I20190513002359 |
| Provider Name | Cristina Cintron |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124589817 PECOS PAC ID: 8426381351 Enrollment ID: I20190610000361 |
| Provider Name | Kaley Medsger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942660303 PECOS PAC ID: 6507290715 Enrollment ID: I20191221000442 |
| Provider Name | Jessica Pinneo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952820169 PECOS PAC ID: 7911331046 Enrollment ID: I20191226001657 |
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