NPIMap

Organization Active NPI

Sensational Kids Physical, Occupational & Speech Therapy Services PLLC

  • Early Intervention Provider Agency
  • Waverly, NY
National Provider Identifier
1104101674
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
021178-1 Issued in NY
Legal business name
SENSATIONAL KIDS PHYSICAL, OCCUPATIONAL & SPEECH THERAPY SERVICES PLLC
Practice address
332 Broad St
Waverly, NY 14892
Phone
(607) 948-4047
Fax
(607) 565-2200
NPI assigned
Oct 17, 2011
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mrs. Kristie A Kreis, PTNPI 1861698235
Title
Managing Member
Phone
(607) 948-4047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 021178-1 NY Primary

Addresses

Primary practice location

332 Broad St
Waverly, NY 14892

Mailing address

332 Broad St
Waverly, NY 14892
Phone (607) 948-4047

National Provider Directory

National Provider Directory

Locations

173 Front St
Ste 1
Owego, NY 13827
Phone (607) 948-4047

Practitioners & affiliated clinicians

Practitioners 4

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": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1104101674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BROAD ST",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "14892",
            "telephone_number": "607-948-4047",
            "fax_number": "607-565-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 BROAD ST",
            "city": "WAVERLY",
            "state": "NY",
            "postal_code": "14892",
            "telephone_number": "607-948-4047",
            "fax_number": "607-565-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSATIONAL KIDS PHYSICAL, OCCUPATIONAL & SPEECH THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "KREIS",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "607-948-4047",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "021178-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.