Provider Demographics
NPI:1871662916
Name:JUST FOR KIDS THERAPY, INC.
Entity Type:Organization
Organization Name:JUST FOR KIDS THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BILLING/OT
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-660-0946
Mailing Address - Street 1:3825 N 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2807
Mailing Address - Country:US
Mailing Address - Phone:402-660-0946
Mailing Address - Fax:402-496-2851
Practice Address - Street 1:3825 N 112TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2807
Practice Address - Country:US
Practice Address - Phone:402-660-0946
Practice Address - Fax:402-496-2851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE875225100000X
NE199225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty