NPIMap

Organization Active NPI

The Therapy Spot for Pediatric & Adult Speech Physical Occupational TH

  • Early Intervention Provider Agency
  • Islandia, NY
National Provider Identifier
1003273160
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
23980 Issued in NY
Legal business name
THE THERAPY SPOT FOR PEDIATRIC & ADULT SPEECH PHYSICAL OCCUPATIONAL TH
Practice address
1770 Motor Pkwy
Suite 202
Islandia, NY 11749-5260
Phone
(631) 582-0088
Fax
(631) 582-0405
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Phyllis Lepre Reischmann, P.T.NPI 1891868303
Title
Managing Member
Phone
(631) 582-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 23980 NY Primary

Addresses

Primary practice location

1770 Motor Pkwy
Suite 202
Islandia, NY 11749-5260

Mailing address

1770 Motor Pkwy
Suite 202
Islandia, NY 11749-5260
Phone (631) 582-0088

Other identifiers 1

IdentifierTypeStateIssuer
03539700MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
The Therapy Spot for Pediatric Adult Speech Physical Occupational TH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1770 Motor Pkwy
Ste 202
Islandia, NY 11749
Phone (631) 582-0088

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1003273160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 MOTOR PKWY",
            "address_2": "SUITE 202",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495260",
            "telephone_number": "631-582-0088",
            "fax_number": "631-582-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MOTOR PKWY",
            "address_2": "SUITE 202",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495260",
            "telephone_number": "631-582-0088",
            "fax_number": "631-582-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY SPOT FOR PEDIATRIC & ADULT SPEECH PHYSICAL OCCUPATIONAL TH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "REISCHMANN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "LEPRE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "631-582-0088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "23980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03539700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.