Active NPI
Margaret L Southard, SP ED
- Specialist
- Cicero, NY
National Provider Identifier
1134463433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 5962 RT 31
Suite 7 Box 10
Cicero, NY 13039 - Phone
- (315) 698-0033
- Fax
- (315) 698-0031
- NPI assigned
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
5962 RT 31
Suite 7 Box 10
Cicero, NY 13039
Mailing address
171 Intrepid LN
Syracuse, NY 13205-2548
Phone (315) 437-4698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104109016 | Other | NY | ORGANIZATION NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Network for Children's Speech, Occupational and Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Children's Therapy Network
- Early Intervention Provider Agency
- Syracuse, NY
- NPI 1619113255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1134463433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 INTREPID LN",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132052548",
"telephone_number": "315-437-4698",
"fax_number": "315-437-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5962 RT 31",
"address_2": "SUITE 7 BOX 10",
"city": "CICERO",
"state": "NY",
"postal_code": "13039",
"telephone_number": "315-698-0033",
"fax_number": "315-698-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHARD",
"first_name": "MARGARET",
"middle_name": "L",
"credential": "SP ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION NPI",
"identifier": "1104109016",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.