NPIMap

Organization Active NPI

Innovative Therapy Solutions

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1073777371
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018351 Issued in NY
Legal business name
INNOVATIVE THERAPY SOLUTIONS
Practice address
1330 5TH Ave
6I
New York, NY 10026-3900
Phone
(646) 922-4002
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Timberly L Wannamaker, MA, CCC-SLP
Title
Speech Pathologist
Phone
(646) 922-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 018351 NY Primary

Addresses

Primary practice location

1330 5TH Ave
6I
New York, NY 10026-3900

Mailing address

1330 5TH Ave
6I
New York, NY 10026-3900
Phone (646) 922-4002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1073777371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 5TH AVE",
            "address_2": "6I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263900",
            "telephone_number": "646-922-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 5TH AVE",
            "address_2": "6I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263900",
            "telephone_number": "646-922-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WANNAMAKER",
        "authorized_official_first_name": "TIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "646-922-4002",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.