NPIMap

Organization Active NPI

CBS Therapy

  • Speech-Language Pathologist
  • Cranston, RI
National Provider Identifier
1063744043
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CBS THERAPY
Practice address
626 Park Ave
Suite 2a
Cranston, RI 02910-2154
Phone
(401) 383-9823
Fax
(401) 383-5933
NPI assigned
Feb 2, 2010
Last updated
Jan 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Peter Erklauer, MS, CCP-SLP
Title
Clinical Director
Phone
(401) 270-9991

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT02776 RI
Pediatric Physical Therapist 2251P0200X NU
Occupational Therapist 225X00000X OT01312 RI
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

626 Park Ave
Suite 2a
Cranston, RI 02910-2154

Mailing address

626 Park Ave
Suite 2a
Cranston, RI 02910-2154
Phone (401) 383-9823

Other identifiers 1

IdentifierTypeStateIssuer
1063744043MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
CBS Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

626 Park Ave
Ste 2A
Cranston, RI 02910
Phone (401) 270-9991

Practitioners & affiliated clinicians

Practitioners 5

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1063744043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 PARK AVE",
            "address_2": "SUITE 2A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102154",
            "telephone_number": "401-383-9823",
            "fax_number": "401-383-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 PARK AVE",
            "address_2": "SUITE 2A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102154",
            "telephone_number": "401-383-9823",
            "fax_number": "401-383-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "ERKLAUER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "401-270-9991",
        "authorized_official_credential": "MS, CCP-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02776",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01312",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063744043",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.