MOONBEAM PEDIATRIC THERAPY SERVICES, PLLC
NPI 1609725027
Clinic/Center in San Antonio, TX
- Organization
- Clinic/Center
About MOONBEAM PEDIATRIC THERAPY SERVICES, PLLC
This page provides the complete NPI Profile along with additional information for Moonbeam Pediatric Therapy Services, Pllc, a provider established in San Antonio, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1609725027 assigned on January 2026. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Ms. Bridgitte Pauletta Leahey Otr (Occupational Therapist)
- NPI
- 1609725027 Verify this NPI
- Provider Name
- MOONBEAM PEDIATRIC THERAPY SERVICES, PLLC
- Entity Type
- Organization
- Location Address
- 8718 WICKERSHAM ST SAN ANTONIO, TX 78254
- Location Phone
- (210) 269-0663
- Mailing Address
- 8718 WICKERSHAM ST SAN ANTONIO, TX 78254
- Mailing Phone
- (210) 269-0663
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2026
- Last Update Date
- 01-27-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609725027, enumerated as an "organization" on January 27, 2026.
The provider is located at 8718 WICKERSHAM ST SAN ANTONIO, TX 78254 and the phone number is (210) 269-0663.
Clinic/Center with taxonomy code 261Q00000X.
