DEVELOPMENTAL REHAB SERVICES, INC

Provider Demographics

• NPI: 1235519430
• Name: DEVELOPMENTAL REHAB SERVICES, INC
• Entity Type: Organization
• Organization Name: DEVELOPMENTAL REHAB SERVICES, INC
• Authorized Official - Title/Position: OWNER/PROVIDER
• Authorized Official - First Name: MELISSA
• Authorized Official - Middle Name: KAYE
• Authorized Official - Last Name: PIERCE
• Authorized Official - Credentials: OTR
• Authorized Official - Phone: 281-786-4234
• Mailing Address - Street 1: PO BOX 111878
• Mailing Address - City: HOUSTON
• Mailing Address - State: TX
• Mailing Address - Zip Code: 77293
• Mailing Address - Country: US
• Mailing Address - Phone: 713-320-2670
• Mailing Address - Fax: 713-583-7597
• Practice Address - Street 1: 2656 S LOOP W STE 130
• Practice Address - City: HOUSTON
• Practice Address - State: TX
• Practice Address - Zip Code: 77054-2772
• Practice Address - Country: US
• Practice Address - Phone: 281-786-4234
• Practice Address - Fax: 713-583-7597
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2015-06-02
• Last Update Date: 2023-06-29

Provider Licenses

State	License ID	Taxonomies
		103K00000X, 225XP0200X, 235Z00000X
TX	113673	225XP0200X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Single Specialty
No	103K00000X	Behavioral Health & Social Service Providers	Behavior Analyst		Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TX	3425787-02	Medicaid
TX	3425787-01	Medicaid
TX	402230302	Medicaid
TX	4354938-04	Medicaid
TX	4329435-01	Medicaid
TX	4329435-02	Medicaid
TX	4354938-03	Medicaid
TX	402230301	Medicaid
TX	4063794-01	Medicaid
TX	4063794-02	Medicaid
TX	4354936-04	Medicaid
TX	4467979-02	Medicaid