Provider Demographics
NPI:1528003969
Name:THERAPY OPTIONS OF TEXARKANA, INC.
Entity Type:Organization
Organization Name:THERAPY OPTIONS OF TEXARKANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:E
Authorized Official - Last Name:STRAWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-557-4945
Mailing Address - Street 1:515 E BORDER ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-7402
Mailing Address - Country:US
Mailing Address - Phone:817-999-1883
Mailing Address - Fax:817-557-4917
Practice Address - Street 1:3410 MAGNOLIA STREET
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-3729
Practice Address - Country:US
Practice Address - Phone:903-792-3003
Practice Address - Fax:903-794-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0025NFOtherBLUE CROSS
AR159614742Medicaid