Provider Demographics
NPI:1073788048
Name:A 2 Y INVESTMENTS
Entity Type:Organization
Organization Name:A 2 Y INVESTMENTS
Other - Org Name:PREMIER PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEADER OF OPERATIONS, ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-539-1632
Mailing Address - Street 1:415 S 1ST ST STE 300A
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-3863
Mailing Address - Country:US
Mailing Address - Phone:832-539-1632
Mailing Address - Fax:832-539-1633
Practice Address - Street 1:11820 CYPRESS CORNER LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-1132
Practice Address - Country:US
Practice Address - Phone:832-539-1632
Practice Address - Fax:832-539-1633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIDS REHAB ACQUISITION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-29
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193968801Medicaid