Provider Demographics
NPI:1568028629
Name:ENVISION HOPE PEDIATRIC THERAPY, PLLC
Entity Type:Organization
Organization Name:ENVISION HOPE PEDIATRIC THERAPY, PLLC
Other - Org Name:ENVISION HOPE PEDIATRIC THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BOWER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:214-494-4677
Mailing Address - Street 1:10050 LEGACY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-6740
Mailing Address - Country:US
Mailing Address - Phone:469-494-4677
Mailing Address - Fax:469-579-4090
Practice Address - Street 1:10050 LEGACY DR STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6740
Practice Address - Country:US
Practice Address - Phone:469-579-4061
Practice Address - Fax:469-579-4090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty