OrganizationActive
Fantastic Kids Therapy PLLC
NPI 1104141019 · Pediatric Occupational Therapist · Laredo, TX
Provider details
- NPI number
- 1104141019
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Aide Garza, Managing Member(956) 488-8100
- License
- 110165 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1519 E Bustamante St Ste G
Laredo, TX 78041-5305
Phone: (956) 208-8707
Street-level locationGet directions
Mailing address
500 Godorniz
Rio Grande City, TX 78582-6656
Other names (DBA / former)
- Former legal business name
- Fantastic Kids Therapy PLLC
Registry dates
- Enumerated
- 2010-04-02
- Last updated
- 2010-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.