OrganizationActive
East Texas Pediatric Therapy
NPI 1740422575 · Contractor · Edgewood, TX
Provider details
- NPI number
- 1740422575
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Dawn Gober, Owner/Pta(214) 336-2248
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1738 Vzcr 3103
Edgewood, TX 75117-5020
Phone: (214) 336-2248
Fax: (972) 534-1881
Approximate (ZIP-level) locationGet directions
Mailing address
1738 Vzcr 3103
Edgewood, TX 75117-5020
Registry dates
- Enumerated
- 2009-03-25
- Last updated
- 2009-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.