Juventas Physical Occupational & Speech Therapy Services PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019336-1 Issued in NY

Legal business name

JUVENTAS PHYSICAL OCCUPATIONAL & SPEECH THERAPY SERVICES PLLC

Practice address

65 E Market St Ste 201
Corning, NY 14830-2708

Phone

(607) 377-7482

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carrie Richards, PT, DPT, MSPTNPI 1235422692

Title

Physical Therapist/Managing Partner

Phone

(607) 377-7482

Specialties & licenses 3

Addresses

Other names 1

• Juventas Physical Occupational & Speech Therapy Services Other name

Locations

Practitioners 2

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

• Carrie Richards, PT

  • Physical Therapist
  • Corning, NY
  • NPI 1235422692
  NPD Authorized official
• Boyd Williams, COTA

  • Occupational Therapy Assistant
  • Corning, NY
  • NPI 1568854578
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1285998179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E MARKET ST STE 201",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302708",
            "telephone_number": "607-377-7482",
            "fax_number": "607-962-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E MARKET ST STE 201",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302708",
            "telephone_number": "607-377-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVENTAS PHYSICAL OCCUPATIONAL & SPEECH THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MANAGING PARTNER",
        "authorized_official_telephone_number": "607-377-7482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019336-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012869-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020655-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juventas Physical Occupational & Speech Therapy Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Juventas Physical Occupational & Speech Therapy Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Linda Jean Jennings, P.A.
• Erin Betsy Jerome
• Jody Howell, Nurse Practitioner in Family Health,PLLC
• Joyce Johns, LPN
• Joseph O Hayes Dba Hayes Transportation Services
• Sumathyuthee Kamalakannan
• Colton Kampa
• David Benjamin Kartzman, DC
• Kathleen Hallinan MD
• Amy Jane Kauffman, MD

• Physical Therapist in Corning, NY
• Providers in Corning, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.