HULLABALOO PEDIATRIC THERAPY PLLC NPI 1073991964

NPI Information

  • NPI: 1073991964
  • Provider Name: HULLABALOO PEDIATRIC THERAPY PLLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 2035 CROCKETT RD
    PALESTINE, TX
    ZIP 75801
  • Phone: (903) 723-3602

Map and Directions

Get Directions

NPI Details

HULLABALOO PEDIATRIC THERAPY PLLC is a rehabilitation clinic center in Palestine, TX. HULLABALOO PEDIATRIC THERAPY PLLC NPI is 1073991964. The provider is registered as an organization entity type.

The provider's business location address is:

2035 CROCKETT RD
PALESTINE, TX
ZIP 75801-921
Phone: (903) 723-3602
Fax: (903) 731-9573

The provider's authorized official is Kristi L. Grimsley .
The authorized official title is Owner and has the following contact phone number (903) 391-8170.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 1/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical Therapy1099075TEXASNo
2261QH0700XClinic/CenterHearing and Speech108561TEXASNo
3261QR0400XClinic/CenterRehabilitation1099075TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1351507401MEDICAIDTEXAS
2351990201MEDICAIDTEXAS
3201775804MEDICAIDTEXAS
4108015203MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.