MEDICARE: THERAPY NEST PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1447710561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY NEST PLLC

Provider Business Mailing Address
First Line	:	14 RYE RIDGE PLZ STE 242
Second Line	:
City	:	RYE BROOK
State	:	NY
Zip	:	10573-2858
Country	:	US
Telephone Number	:	914-222-1326
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 RYE RIDGE PLZ STE 242
Second Line	:
City	:	RYE BROOK
State	:	NY
Zip	:	10573-2858
Country	:	US
Telephone Number	:	914-222-1326
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	RACHEL FLEMING
Credential	:
Telephone Number	:	914-222-1326

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	03/24/2019

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Directions to “THERAPY NEST PLLC ” Practice Location

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