Healthcare Provider Details

I. General information

NPI: 1316985013
Provider Name (Legal Business Name): POSITIVE STEPS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5316 WILLIAM FLYNN HIGHWAY SUITE
GIBSONIA PA
15044
US

IV. Provider business mailing address

1311 MAMARONECK AVE STE 140
WHITE PLAINS NY
10605-5224
US

V. Phone/Fax

Practice location:
  • Phone: 724-444-5333
  • Fax: 724-444-5335
Mailing address:
  • Phone: 914-294-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StatePA

VIII. Authorized Official

Name: ASHLEY GRIFFITHS
Title or Position: DIRECTOR OF PAYER RELATIONS
Credential:
Phone: 914-294-4050