- Practice location
- 31 Burd St, Nyack, NY 10960-3205
- Phone
- 845-353-3331
- Fax
- —
- Last updated
- September 23, 2011
Innovative Pediatric Therapies PT OT SLP PLLC is a healthcare organization based in Nyack, NY. Innovative Pediatric Therapies PT OT SLP PLLC practices in Nyack, NY. The NPI Number for Innovative Pediatric Therapies PT OT SLP PLLC is 1023304995 and holds a License No. 003760-1 (NY). The current practice location address for Innovative Pediatric Therapies PT OT SLP PLLC is 31 Burd St, Nyack, NY 10960-3205 and can be reached out via phone at 845-353-3331.
Provider Profile Details
- NPI Number
- 1023304995
- Provider Name
- Innovative Pediatric Therapies PT OT SLP PLLC
- Provider Entity Type
- Organization
- Address
- 31 Burd St, Nyack, NY 10960-3205
- Phone Number
- 845-353-3331
- Primary Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X
- Organization Subpart
- No
- Authorized Official
- Lise Petricone, PT, PCS · President · 845-353-3331
- Provider Enumeration Date
- June 20, 2011
- Last Update Date
- September 23, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Burd St
Nyack, NY 10960-3205 - City
- Nyack
- State
- New York
- Zip
- 10960-3205
- Phone Number
- 845-353-3331
Provider Business Mailing Address Details
- Address
- 31 Burd Street
Nyack, NY 10960 - City
- Nyack
- State
- NY
- Zip
- 10960
- Phone Number
- 845-353-3331
License Information
- License Number (1)
- 003760-1
- License State (1)
- NY
- Taxonomy (1)
- Clinic/Center, Hearing and Speech · 261QH0700X
- License Number (2)
- 005413-1
- License State (2)
- NY
- Taxonomy (2)
- Clinic/Center, Rehabilitation · 261QR0400X
- License Number (3)
- 009027-1
- License State (3)
- NY
- Taxonomy (3)
- Clinic/Center, Physical Therapy · 261QP2000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Physical Therapy providers near Nyack, NY
View all Clinic/Center, Physical Therapy providers in Nyack →- Hudson Health Physical Therapy, PLLCClinic/Center, Physical Therapy · NPI 1144674466
- Rtc Physical Therapy, PLLCClinic/Center, Physical Therapy · NPI 1447775648
- Holly Shiffman, LCSWSocial Worker, Clinical · NPI 1871634915
- Hudson Health Chiropractic, PLLCChiropractor · NPI 1942748942
- Dr. Joseph A Taccetta, DCChiropractor · NPI 1891968657
- Kay Jung, PTPhysical Therapist · NPI 1881910685
Frequently Asked Questions
What is the NPI number of Innovative Pediatric Therapies PT OT SLP PLLC?
The NPI number of Innovative Pediatric Therapies PT OT SLP PLLC is 1023304995. It was assigned on June 20, 2011 and is currently active in the NPPES registry.
What is the specialty of Innovative Pediatric Therapies PT OT SLP PLLC?
Innovative Pediatric Therapies PT OT SLP PLLC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NY under license number 003760-1.
Where does Innovative Pediatric Therapies PT OT SLP PLLC practice?
The practice location is 31 Burd St, Nyack, NY 10960-3205. The office can be reached at 845-353-3331 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023304995 directly on the NPPES registry website.