Toddlergym, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

001302 Issued in PR

Legal business name

TODDLERGYM, LLC

Practice address

#20 Colina del Mar
Manati, PR 00674

Phone

(787) 623-2869

Fax

(866) 840-1421

NPI assigned

May 8, 2013

Last updated

May 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Javier Rodriguez Colon

Title

President

Phone

(787) 623-2869

Specialties & licenses 1

Addresses

Other names 1

• Toddlergym, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Rivera, SLP

  • Speech-Language Pathologist
  • Manati, PR
  • NPI 1871832998
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1225473937",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "#20 COLINA DEL MAR",
            "city": "MANATI",
            "state": "PUERTO RICO",
            "postal_code": "00674",
            "telephone_number": "787-623-2869",
            "fax_number": "18668401421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#20 COLINA DEL MAR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-623-2869",
            "fax_number": "866-840-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODDLERGYM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-623-2869",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PR",
            "license": "001302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toddlergym, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.