NPIMap

Organization Active NPI

Lincoln Intermediate Unit 12

  • Speech-Language Pathologist
  • New Oxford, PA
National Provider Identifier
1336364769
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LINCOLN INTERMEDIATE UNIT 12
Practice address
65 Billerbeck St
New Oxford, PA 17350-9375
Phone
(717) 624-4616
Fax
(717) 624-6523
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Ms. Letty C Groft
Title
Special Education Fiscal Manager
Phone
(717) 624-6419

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

65 Billerbeck St
New Oxford, PA 17350-9375

Mailing address

65 Billerbeck St
PO Box 70
New Oxford, PA 17350-9375
Phone (717) 624-4616

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Intermediate Unit 124 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1336364769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BILLERBECK ST",
            "address_2": "PO BOX 70",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509375",
            "telephone_number": "717-624-4616",
            "fax_number": "717-624-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BILLERBECK ST",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509375",
            "telephone_number": "717-624-4616",
            "fax_number": "717-624-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN INTERMEDIATE UNIT 12",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "GROFT",
        "authorized_official_first_name": "LETTY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPECIAL EDUCATION FISCAL MANAGER",
        "authorized_official_telephone_number": "717-624-6419",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Oxford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.