FUNTASTIC THERAPY
NPI 1659658284
Clinic/Center - Rehabilitation in Laredo, TX

Active since November 10, 2011
1501 E BUSTAMANTE ST, STE. G, LAREDO, TX 78041(956) 718-2020(956) 718-2919 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation

About FUNTASTIC THERAPY

This page provides the complete NPI Profile along with additional information for Funtastic Therapy, a provider established in Laredo, Texas operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1659658284 assigned on November 2011. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Funtastic Therapy. The authorized official of this NPI record is Ms. Joanna Mendoza Slp (Owner)

NPI
1659658284 Verify this NPI
Provider Legal Name
JDM DIRECT INTERVENTION PLLC
Other Organization Name
FUNTASTIC THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1501 E BUSTAMANTE ST STE. G LAREDO, TX 78041
Location Phone
(956) 718-2020
Location Fax
(956) 718-2919
Mailing Address
10809 MARFA RD LAREDO, TX 78045
Mailing Phone
(956) 718-2020
Mailing Fax
(956) 718-2919
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2011
Last Update Date
11-10-2011
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 Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JOANNA MENDOZA SLP

Authorized Official Title
OWNER
Authorized Official Phone
(956) 718-2020

Reviews for FUNTASTIC THERAPY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
1501 E BUSTAMANTE ST, SUITE G
LAREDO, TX 78041
Nurse Practitioner (Family)
1501 E BUSTAMANTE ST, SUITE D
LAREDO, TX 78041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659658284, enumerated as an "organization" on November 10, 2011.

The provider is located at 1501 E BUSTAMANTE ST STE. G LAREDO, TX 78041 and the phone number is (956) 718-2020.

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.