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NPI Code Detail

MEDICARE: POPS THERAPY LLC

MEDICARE: POPS THERAPY LLC
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
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3103K00000XBehavior Analyst
4224Z00000XOccupational Therapy Assistant
5106S00000XBehavior Technician
62080P0008XPediatric Neurodevelopmental Disabilities Physician

General Provider Information

NPI Number : 1740849793
Entity Type Code : Organization
Provider Name (Legal Business Name) : POPS THERAPY LLC
Provider Business Mailing Address
First Line : 340 MAIN AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07014-1328
Country : US
Telephone Number : 973-931-2731
Fax Number : 551-400-9252
Provider Business Practice Location Address
First Line : 60 POMPTON AVE REAR
Second Line :
City : VERONA
State : NJ
Zip : 07044-2946
Country : US
Telephone Number : 973-931-2731
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. DINAH LEITER
Credential : OTR
Telephone Number : 973-931-2731
Provider Enumeration Date : 06/12/2019
Last Update Date : 01/05/2026

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Directions to “POPS THERAPY LLC ” Practice Location

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