NPIMap

Organization Active NPI

Jacobs Ladder

  • Early Intervention Provider Agency
  • Valparaiso, IN
National Provider Identifier
1255734042
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
32002230A Issued in IN
Legal business name
JACOBS LADDER
Practice address
322 W. 806N
Valparaiso, IN 46385
Phone
(219) 764-4888
NPI assigned
Oct 7, 2014
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Mariann Frigo, OTNPI 1093912289
Title
Director
Phone
(219) 764-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 32002230A IN Primary

Addresses

Primary practice location

322 W. 806N
Valparaiso, IN 46385

Mailing address

7105 W. 138TH Ave
Cedar Lake, IN 46303
Phone (219) 916-3668

National Provider Directory

National Provider Directory

Locations

322 W 806N
Valparaiso, IN 46385
Phone (219) 764-4888

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1255734042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 W. 138TH AVE",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "46303",
            "telephone_number": "219-916-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W. 806N",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46385",
            "telephone_number": "219-764-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS LADDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "FRIGO",
        "authorized_official_first_name": "MARIANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-764-4888",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IN",
            "license": "32002230A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.