HULLABALOO PEDIATRIC THERAPY PLLC NPI 1073991964

NPI Information

NPI: 1073991964
Provider Name: HULLABALOO PEDIATRIC THERAPY PLLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
2035 CROCKETT RD
PALESTINE, TX
ZIP 75801
Phone: (903) 723-3602
Get Directions

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
1	261QP2000X	Clinic/Center	Physical Therapy	1099075	TEXAS	No
2	261QH0700X	Clinic/Center	Hearing and Speech	108561	TEXAS	No
3	261QR0400X	Clinic/Center	Rehabilitation	1099075	TEXAS	Yes

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
1	351507401	MEDICAID	TEXAS
2	351990201	MEDICAID	TEXAS
3	201775804	MEDICAID	TEXAS
4	108015203	MEDICAID	TEXAS

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: 4/28/2024

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.

« Previous NPI

Next NPI »