LIFESTEPS PEDIATRIC THERAPY CENTER (LIFELINE PEDIATRIC CLINICS) NPI 1598098873

Clinic/Center (Rehabilitation) in Wichita Falls, TX

NPI 1598098873 Organization Clinic/Center Rehabilitation

About LIFESTEPS PEDIATRIC THERAPY CENTER (LIFELINE PEDIATRIC CLINICS)

Lifesteps Pediatric Therapy Center (lifeline Pediatric Clinics) is a provider established in Wichita Falls, Texas specializing in clinic/center (rehabilitation) . The NPI number of Lifesteps Pediatric Therapy Center (lifeline Pediatric Clinics) is 1598098873 and was assigned on September 2009. The practitioner's primary taxonomy code is 261QR0400X with license number 666670000 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Lifesteps Pediatric Therapy Center. The authorized official of this NPI record is Joe Paul Gallo Rnc, Whnp B-c, Cst (Adminisrator)

NPI

1598098873

Provider NameLIFESTEPS PEDIATRIC THERAPY CENTER (LIFELINE PEDIATRIC CLINICS)
Provider Location Address3501 SHEPPARD ACCESS RD WICHITA FALLS, TX 76306
Provider Mailing Address3501 SHEPPARD ACCESS RD WICHITA FALLS, TX 76306
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameLIFESTEPS PEDIATRIC THERAPY CENTER
Other Name TypeDoing Business As (3)
Enumeration Date09-17-2009
Last Update Date09-17-2009


Primary Taxonomy

Taxonomy Code261QR0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRehabilitation
License No.666670000
License StateTX

Business Address

LIFESTEPS PEDIATRIC THERAPY CENTER
3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX
ZIP 76306
Phone: (940) 851-7837

Get Directions


Mailing Address

LIFESTEPS PEDIATRIC THERAPY CENTER
3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX
ZIP 76306
Phone: (940) 851-7837



Authorized Official

Authorized Official Name JOE PAUL GALLO RNC, WHNP B-C, CST
Authorized Official TitleADMINISRATOR
Authorized Official Phone(940) 367-3501

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy666670000TXNo

Taxonomy Description: an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669705281 VANESSA MARINA WALLACE SLP
Individual
Speech-Language Pathologist3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 851-8737
1801129317 JENA LEE BROWN LD
Individual
Dietitian, Registered3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 851-8737
1699150169 KELLY GRACE
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 228-5297
1386129401 SYDNEY KATE BARTON M.ED., BCBA
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 228-5297
1679033583 GAGE RAYMOND GRACE
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 782-8397
1518213669 RACHEL S BERTLESON BACA, LBA, LPA - I
Individual
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1902463276NORTH TEXAS DIAGNOSTIC INTERVENTION BEHAVIORAL CLINIC
Organization
Behavior Analyst3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 447-7115
1528647476 LAURA MICHELLE PANTER RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 224-9032
1871168104 SHAWNNA N ALLEN RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1740854066 ALEXA M TIDWELL RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1619641784 ANDREA MANKINS
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 631-7117
1104590207 JACI NICOLE NICHOLS
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1366013419 MARIA D CALVILLO RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100
1437721396 LISA NORIEGA RBT
Individual
Behavior Technician3501 SHEPPARD ACCESS RD
WICHITA FALLS, TX 76306
(940) 386-2100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.