Active NPI
Abilis
- Early Intervention Provider Agency
- Stamford, CT
National Provider Identifier
1063626547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- ABILIS
- Practice address
- 1150 Summer St
Stamford, CT 06905-5530 - Phone
- (203) 324-1880
- Fax
- (203) 324-4390
- NPI assigned
- May 10, 2007
- Last updated
- Aug 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Mustakas
- Title
- Billing Specialist
- Phone
- (203) 531-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | NU | Primary |
Addresses
Primary practice location
1150 Summer St
Stamford, CT 06905-5530
Mailing address
50 Glenville St
Greenwich, CT 06831-4140
Phone (203) 324-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004186012 | Medicaid | CT |
National Provider Directory
National Provider Directory- Tax ID family
- Abilis
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
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- Stamford, CT
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-
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-
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- NPI 1801270830
Practitioners & affiliated clinicians
Practitioners 3
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.
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- NPI 1922511344
-
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-
- Pediatric Occupational Therapist
- Stamford, CT
- NPI 1033874524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1063626547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 GLENVILLE ST",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068314140",
"telephone_number": "203-324-1880",
"fax_number": "203-324-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 SUMMER ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055530",
"telephone_number": "203-324-1880",
"fax_number": "203-324-4390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABILIS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "MUSTAKAS",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "203-531-1880",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004186012",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.