KID POTENTIAL INC. NPI 1124175237

NPI Information

  • NPI: 1124175237
  • Provider Name: KID POTENTIAL, INC.
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 2912 W DAVIS ST
    SUITE 140
    CONROE, TX
    ZIP 77304
  • Phone: (936) 539-4574

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NPI Details

KID POTENTIAL, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Conroe, TX. KID POTENTIAL, INC. NPI is 1124175237. The provider is registered as an organization entity type.

The provider's business location address is:

2912 W DAVIS ST
SUITE 140
CONROE, TX
ZIP 77304-041
Phone: (936) 539-4574
Fax: (936) 539-4585

The provider's authorized official is Judy Faulkner .
The authorized official title is Chief Financial Officer and has the following contact phone number (936) 539-4574.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/22/2020.

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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)TEXASYes

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

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