Sensational Kids Physical, Occupational & Speech Therapy Services PLLC

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

Organization subpart

No

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

Authorized official

Name

Mrs. Kristie A Kreis, PT

Title

Managing Member

Phone

(607) 948-4047

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah K Gorman, OT

  • Occupational Therapist
  • Owego, NY
  • NPI 1992902340
  NPD
• Maria Christina Cayetano

  • Student in an Organized Health Care Education/Training Program
  • Waverly, NY
  • NPI 1396088688
  NPD (past)
• James W Peterson

  • Occupational Therapist
  • Waverly, NY
  • NPI 1922412394
  NPD (past)

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": []
}

• Wendy Michelle Rogers, LPN
• Shelly Diane Rusin, PTA
• Marjorie Sampson, LICENSED MASSAGE THE
• Thomas Sampson, MASSAGE THERAPIST
• Donald Sassman, RPH
• Sensational Kids Physical, Occupational & Speech Therapy Services PLLC
• Maygoe Richard Sheehan, M.D.
• Tristen Marie Stanton, L.M.T
• Stephen Lynne McKee DDS, PLLC
• Jodea Sweeney

• All providers in Waverly, NY
• Early Intervention Provider Agency in New York

• 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.