| Kids Therapy Specialties Llc | |
|
4900 Sanger Ave Waco TX 76710-5866 | |
| (254) 848-6284 | |
| (254) 848-4193 |
| Full Name | Kids Therapy Specialties Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 4900 Sanger Ave, Waco, Texas |
| Authorized Official Name and Position | Juliet Eileen Melton (PHYSICAL THERAPIST PRESIDENT) |
| Authorized Official Contact | 2546442423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Therapy Specialties Llc 4900 Sanger Ave Waco TX 76710-5866 Ph: (254) 848-6284 | Kids Therapy Specialties Llc 4900 Sanger Ave Waco TX 76710-5866 Ph: (254) 848-6284 |
| NPI Number | 1407923808 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Medicare PECOS PAC ID | 0840341673 |
|---|---|
| Medicare Enrollment ID | O20090707000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407923808 | NPI | - | NPPES |
| 333160501 | Medicaid | TX |
| Provider Name | Juliet E Melton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255392551 PECOS PAC ID: 8022169853 Enrollment ID: I20090707000696 |
| Provider Name | Pamela B Hanna |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649304106 PECOS PAC ID: 6901942366 Enrollment ID: I20091015000436 |
| Provider Name | Joel Kelley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750851713 PECOS PAC ID: 0749522761 Enrollment ID: I20190423001624 |
| Provider Name | Emily Page |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245703925 PECOS PAC ID: 9335569607 Enrollment ID: I20201027000557 |
| Provider Name | Kaitlyn Gose |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609432483 PECOS PAC ID: 7810307196 Enrollment ID: I20201028001998 |
| Provider Name | Eva Palacios |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932264264 PECOS PAC ID: 5799195996 Enrollment ID: I20201029000029 |
| Provider Name | Lisa Le |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780292300 PECOS PAC ID: 6709296916 Enrollment ID: I20201029000393 |
| Provider Name | James Matthew Horn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154566685 PECOS PAC ID: 8426468596 Enrollment ID: I20201030000068 |
| Provider Name | Barbara Plemons |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457662199 PECOS PAC ID: 7719397843 Enrollment ID: I20201102000215 |
| Provider Name | Rada Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225500689 PECOS PAC ID: 0244640100 Enrollment ID: I20201104000117 |
| Provider Name | Lauren Shiller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871125062 PECOS PAC ID: 3476963307 Enrollment ID: I20201105000021 |
| Provider Name | Kimberly Janecka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861962128 PECOS PAC ID: 7315357910 Enrollment ID: I20201111000432 |
| Provider Name | Karen Patton Hoglund |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437380011 PECOS PAC ID: 9032520390 Enrollment ID: I20201118001438 |
| Provider Name | Winny Soenaryo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104483023 PECOS PAC ID: 2961813084 Enrollment ID: I20201123000047 |
| Provider Name | Christina Rivera Ortiz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376808089 PECOS PAC ID: 7911318423 Enrollment ID: I20201204000009 |
| Provider Name | Bret Gardner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669900981 PECOS PAC ID: 0749553139 Enrollment ID: I20201207001738 |
| Provider Name | Roger Charles Rice |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538340781 PECOS PAC ID: 0648662528 Enrollment ID: I20220127000077 |
| Provider Name | Taylor Frei |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972200517 PECOS PAC ID: 9830564608 Enrollment ID: I20230410000056 |
| Provider Name | Leah Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912143132 PECOS PAC ID: 0446313050 Enrollment ID: I20231009001552 |
| Provider Name | Elizabeth Lea Fell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326135302 PECOS PAC ID: 5092948232 Enrollment ID: I20231009001827 |
| Provider Name | Desarae Finck-fugazi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396402285 PECOS PAC ID: 6406201581 Enrollment ID: I20231010000817 |
| Provider Name | Leah Tish |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942961784 PECOS PAC ID: 9537514682 Enrollment ID: I20231010004170 |
| Provider Name | Kyndall Arnold |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952004418 PECOS PAC ID: 3274989116 Enrollment ID: I20231027002570 |
| Provider Name | Kaitlyn Manfra Plotsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639875578 PECOS PAC ID: 4789030677 Enrollment ID: I20231030001087 |
| Provider Name | Morgan Wofford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457078909 PECOS PAC ID: 8527414432 Enrollment ID: I20231030001975 |
| Provider Name | Katelyn Nicole Combs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205337789 PECOS PAC ID: 7517313364 Enrollment ID: I20231031000036 |
| Provider Name | Marion Dielle Bradford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730743113 PECOS PAC ID: 9830545540 Enrollment ID: I20231031002950 |
Enrichment Training And Counseling Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sanger Ave, Suite 12, Waco, TX 76710 Phone: 254-235-3500 | |
Dr.jonas Moen P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hwy 6 Suite 100, Waco, TX 76712 Phone: 254-776-0026 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Greater Waco Counseling & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6801 Sanger Ave, Waco, TX 76710 Phone: 254-304-9309 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |