Pediatric Therapy Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

005235-1 Issued in NY

Legal business name

PEDIATRIC THERAPY SERVICES

Practice address

4 Phillip Dr
Ballston Spa, NY 12020-3836

Phone

(518) 884-0199

Fax

(518) 884-0223

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Thomas Stote, OTR

Title

Partner

Phone

(518) 884-0199

Specialties & licenses 2

Addresses

Practitioners 1

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

• Natalie Ann Jensen-Stote, OTR

  • Community Health Worker
  • Ballston Spa, NY
  • NPI 1063791192
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1184879181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PHILLIP DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203836",
            "telephone_number": "518-884-0199",
            "fax_number": "518-884-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHILLIP DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203836",
            "telephone_number": "518-884-0199",
            "fax_number": "518-884-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "STOTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "518-884-0199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "005235-1",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "004985-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Marie Oeffner, LPN
• Zak James Ogden, DPT
• Kerry Murray Ohara, PSYD
• Corey Ott, M.ED., CCC-SLP
• Grace Charlotte Paster, SLP
• Hannah Pennock, M.S.ED CCC-SLP
• Performance Sanctuary Counseling LCSW, PLLC
• Perspective Physical Therapy Performance PLLC
• Arlene Peterson
• Amanda Pezzulo, RN, BSN, BA

• Early Intervention Provider Agency in Ballston Spa, NY
• Providers in Ballston Spa, 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 18, 2008; 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.