NPIMap

Organization Active NPI

Autism Therapuetic Services LLC

  • Early Intervention Provider Agency
  • Worcester, MA
National Provider Identifier
1114446432
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AUTISM THERAPUETIC SERVICES LLC
Practice address
25 Bjorklund Ave
Worcester, MA 01605-1065
Phone
(774) 303-8186
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Peter Gitobu InotiNPI 1346998069
Title
Manager
Phone
(774) 303-8186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

25 Bjorklund Ave
Worcester, MA 01605-1065

Mailing address

25 Bjorklund Ave
Worcester, MA 01605-1065
Phone (774) 303-8186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114446432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BJORKLUND AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051065",
            "telephone_number": "774-303-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BJORKLUND AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051065",
            "telephone_number": "774-303-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM THERAPUETIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "INOTI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GITOBU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "774-303-8186"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.