Provider Demographics
NPI:1306686670
Name:SKY THERAPY LLC
Entity type:Organization
Organization Name:SKY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COTA
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:TEJADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-473-9897
Mailing Address - Street 1:3712 NEW MATHIS RD STE 104
Mailing Address - Street 2:
Mailing Address - City:ELMENDORF
Mailing Address - State:TX
Mailing Address - Zip Code:78112-6276
Mailing Address - Country:US
Mailing Address - Phone:210-757-3021
Mailing Address - Fax:210-783-1378
Practice Address - Street 1:3712 NEW MATHIS RD STE 104
Practice Address - Street 2:
Practice Address - City:ELMENDORF
Practice Address - State:TX
Practice Address - Zip Code:78112-6276
Practice Address - Country:US
Practice Address - Phone:956-473-9897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-25
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty