Organization Active NPI

Crescendo Therapeutic Services, LLC

  • Recreation Therapist
  • Portsmouth, VA
National Provider Identifier
1093420630
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
CRESCENDO THERAPEUTIC SERVICES, LLC
Practice address
3626 Western Branch Blvd
Portsmouth, VA 23707-2534
Phone
(757) 955-3390
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Gina B Stukes
Title
Owner
Phone
(757) 955-3390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225800000X Primary
Recreational Therapist AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 226000000X

Addresses

Primary practice location

3626 Western Branch Blvd
Portsmouth, VA 23707-2534

Mailing address

1413 Campostella Rd
Chesapeake, VA 23320-6003
Phone (757) 955-3390

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1093420630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CAMPOSTELLA RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206003",
            "telephone_number": "757-955-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 WESTERN BRANCH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072534",
            "telephone_number": "757-955-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENDO THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "STUKES",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-955-3390"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "226000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreational Therapist Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.