Provider Demographics
NPI:1457534042
Name:A TO Z THERAPY MANAGEMENT, LLC
Entity Type:Organization
Organization Name:A TO Z THERAPY MANAGEMENT, LLC
Other - Org Name:A TO Z PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:COE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-727-2869
Mailing Address - Street 1:PO BOX 1972
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76244-1972
Mailing Address - Country:US
Mailing Address - Phone:817-727-2869
Mailing Address - Fax:866-497-2746
Practice Address - Street 1:5612 DAVIS BLVD.
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180
Practice Address - Country:US
Practice Address - Phone:817-727-2869
Practice Address - Fax:866-497-2746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011939251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191477201Medicaid