Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Line Leader Pediatric Therapy, PLLC

Organization Occupational Therapist · NPI 1245462639

Line Leader Pediatric Therapy, PLLC is an Occupational Therapist in Austin, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3303 Northland Dr Ste 214
Austin, TX 78731-4945
Phone: (512) 619-0303
Fax: (512) 291-2666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 109863 (TX)
Occupational Therapist Taxonomy 225X00000X · Licence 109863 (TX)
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X · Licence 109863 (TX)

Record details

NPI number1245462639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Wisnieski — Occupational Therapist · (512) 619-0303
NPI enumeratedAugust 18, 2009
Last updated in NPPESFebruary 23, 2011
Mailing address12928 Bloomfield Hills Ln, Austin, TX 78732-2066

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