Organization Active NPI

Theracare

  • Early Intervention Provider Agency
  • Rego Park, NY
National Provider Identifier
1306285499
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
370785091 Issued in NY
Legal business name
THERACARE
Practice address
9777 Queens Blvd
Penthouse
Rego Park, NY 11374-3335
Phone
(718) 830-9274
Fax
(718) 228-7829
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Jessica Sanchez, M.S. SPED
Title
Special Educator
Phone
(718) 830-9274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 370785091 NY Primary

Addresses

Primary practice location

9777 Queens Blvd
Penthouse
Rego Park, NY 11374-3335

Mailing address

9777 Queens Blvd
Penthouse
Rego Park, NY 11374-3335
Phone (718) 830-9274

National Provider Directory

National Provider Directory

Locations

9777 Queens Blvd
Ph
Rego Park, NY 11374
Phone (718) 830-9274

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1306285499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD",
            "address_2": "PENTHOUSE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743335",
            "telephone_number": "718-830-9274",
            "fax_number": "718-228-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD",
            "address_2": "PENTHOUSE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743335",
            "telephone_number": "718-830-9274",
            "fax_number": "718-228-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPECIAL EDUCATOR",
        "authorized_official_telephone_number": "718-830-9274",
        "authorized_official_credential": "M.S. SPED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "370785091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

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