Springboard Therapy LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

46TR0019200 Issued in NJ

Legal business name

SPRINGBOARD THERAPY LLC

Practice address

25 Lindsley Dr
Suite 207
Morristown, NJ 07960-4455

Phone

(973) 971-0770

Fax

(973) 971-0774

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Patricia Obrien, OT

Title

Occupational Therapist

Phone

(973) 971-0770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1114338084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR",
            "address_2": "SUITE 207",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604455",
            "telephone_number": "973-971-0770",
            "fax_number": "973-971-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR",
            "address_2": "SUITE 207",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604455",
            "telephone_number": "973-971-0770",
            "fax_number": "973-971-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBOARD THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "973-971-0770",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46TR0019200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Mazzei Spingarn, PA-C
• Isaac Daniel Spiteri, M.D.
• Sports Health and Medical Associates of New Jersey, LLC
• David Brian Spriet, D.C.
• Spring Hills at Morristown
• Judith Springer, PSY.D.
• Varothayan Sriskantharajah
• Stephanie St. Onge, PHD
• Jay Irving Stack, M.D.
• Beatrice Stadler

• Specialist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.