OrganizationActive
Canyon Kids Therapy LLC
NPI 1033986294 · Pediatric Occupational Therapist · San Antonio, TX
Provider details
- NPI number
- 1033986294
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jared Ricks, Owner/Occupational Therapist(208) 360-9969
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9502 Novacek Blvd
San Antonio, TX 78254-2121
Phone: (208) 360-9969
Street-level locationGet directions
Mailing address
9502 Novacek Blvd
San Antonio, TX 78254-2121
Registry dates
- Enumerated
- 2023-12-07
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.