Active NPI
Theracare
- Early Intervention Provider Agency
- Rego Park, NY
National Provider Identifier
1306285499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 370785091
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.