NPIMap

Organization Active NPI

Dynamic Kids

  • Early Intervention Provider Agency
  • Hartsdale, NY
National Provider Identifier
1225495229
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
P00502 Issued in NY
Legal business name
DYNAMIC KIDS
Practice address
210 N Central Ave # 340a
Hartsdale, NY 10530-1911
Phone
(914) 428-5151
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Roberta Levy, OT
Title
Owner
Phone
(914) 428-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X P00502 NY Primary

Addresses

Primary practice location

210 N Central Ave # 340a
Hartsdale, NY 10530-1911

Mailing address

6 Crestview Ave
Cortlandt Manor, NY 10567-5106
Phone (914) 588-0107

National Provider Directory

National Provider Directory

Locations

210 N Central Ave
Ste 340A
Hartsdale, NY 10530
Phone (914) 428-5151

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1225495229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CRESTVIEW AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675106",
            "telephone_number": "914-588-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CENTRAL AVE # 340A",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301911",
            "telephone_number": "914-428-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-428-5151",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "P00502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.