NPI Code Detail JSON Logo

1033364542 NPI number — FIRST STEPS SPEECH LANGUAGE PATHOLOGY AND OCCUPATIONAL THERAPY, PLLC

NPI Number: 1033364542
Health Care Provider/Practitioner: FIRST STEPS SPEECH LANGUAGE PATHOLOGY AND OCCUPATIONAL THERAPY, PLLC

Information about “1033364542” NPI (FIRST STEPS SPEECH LANGUAGE PATHOLOGY AND OCCUPATIONAL THERAPY, PLLC) exists in 1033364542 in HTML format HTML  |  1033364542 in plain Text format TXT  |  1033364542 in PDF (Portable Document Format) PDF  |  1033364542 in an XML format XML  formats.

NPI Number : 1033364542 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033364542",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FIRST STEPS SPEECH LANGUAGE PATHOLOGY AND OCCUPATIONAL THERAPY, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "916 THUNDER HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WOODBOURNE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12788-6618",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-399-2975",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "916 THUNDER HILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODBOURNE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12788-6618",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-399-2975",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/25/2008",
    "LastUpdateDate": "11/25/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LA FORGE",
    "AuthorizedOfficialFirstName": "RACHEL",
    "AuthorizedOfficialMiddleName": "JEANNE",
    "AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST/ CO-OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS OTR/L",
    "AuthorizedOfficialTelephoneNumber": "845-399-2975",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "252Y00000X",
        "TaxonomyName": "Early Intervention Provider Agency",
        "LicenseNumber": "012239-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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