Sprout Therapy Group - Physical Therapy, Occupational Therapy, Speech

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SPROUT THERAPY GROUP - PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH

Practice address

108 Southview Rd
Syracuse, NY 13209-2206

Phone

(315) 450-4898

Fax

(315) 834-4898

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey S Dorfman

Title

Chief Operating Officer

Phone

(315) 450-4898

Specialties & licenses 1

Addresses

Other names 1

• Sprout Therapy Group Other name

Practitioners 1

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

• Olivia Ohlmeyer, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Syracuse, NY
  • NPI 1174906978
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1114262318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SOUTHVIEW RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132092206",
            "telephone_number": "315-450-4898",
            "fax_number": "315-834-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOUTHVIEW RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132092206",
            "telephone_number": "315-450-4898",
            "fax_number": "315-834-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT THERAPY GROUP - PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "315-450-4898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprout Therapy Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert P Sprafkin, PHD
• Joanne Sprague, CCC-SLP
• Kathleen Marie Sprague, CRNA
• Michele Donna Spring, MD
• Sharon S Springer, MD
• Talia M Spruill, N.P
• Dean Mark Squires Jr., LMSW
• Varsha Srinivas
• Maria Cristina Srinivasan, M.D.
• St Joseph'S Hospital Health Center

• Early Intervention Provider Agency in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.