NPIMap

Organization Active NPI

Gelsomino and Davis Speech and Occupational Therapy

Doing business as G & D Speech and Occupational Therapy

  • Early Intervention Provider Agency
  • Liberty, NY
National Provider Identifier
1073093035
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
GELSOMINO AND DAVIS SPEECH AND OCCUPATIONAL THERAPY
Doing business as
G & D Speech and Occupational Therapy
Practice address
5 Triangle Rd Ste C
Liberty, NY 12754
Phone
(845) 747-2580
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Elizabeth Davis
Title
Director
Phone
(845) 747-2580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

5 Triangle Rd Ste C
Liberty, NY 12754

Mailing address

PO Box 923
Liberty, NY 12754-0923
Phone (845) 747-2580

Other names 1

  • G & D Speech and Occupational Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
G D Speech and Occupational Therapy2 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

5 Triangle Rd
Ste C
Liberty, NY 12754
Phone (845) 747-2580

Practitioners & affiliated clinicians

Practitioners 6

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1073093035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127540923",
            "telephone_number": "845-747-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TRIANGLE RD STE C",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "12754",
            "telephone_number": "845-747-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GELSOMINO AND DAVIS SPEECH AND OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-747-2580"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G & D Speech and Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "G & D Speech and Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.