Organization · NPI-2

Incredible Kids Therapy PLLC

Occupational Therapy Assistant · Gilbert, AZ

NPI number1336343953

StatusActive

Last updated in NPPESSep 11, 2025

Details

NPI: 1336343953
Entity type: Organization (NPI-2)
Legal business name: Incredible Kids Therapy PLLC
Organization subpart: No
Enumeration date: Jun 14, 2007
Last updated: Sep 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
224Z00000X	Occupational Therapy Assistant	–	–	Yes
2251P0200X	Physical Therapist, Pediatrics	–	–
225200000X	Physical Therapy Assistant	–	–
225A00000X	Music Therapist	–	–
225X00000X	Occupational Therapist	–	–

Practice location

2754 E Vermont Dr
Gilbert, AZ 85297-6326

Phone 623-202-4152 · Fax 480-988-3629

Mailing address

2754 E Vermont Dr
Gilbert, AZ 85297-6326

Phone 623-202-4152 · Fax 480-988-3629

Authorized official

Gregory Allen Koberstein
Owner Physical Therapist
6232024152

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