NPIMap

Organization Active NPI

Southtowns Children'S SLP, PT & OT Associates

  • Early Intervention Provider Agency
  • Orchard Park, NY
National Provider Identifier
1356581367
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
012225 Issued in NY
Legal business name
SOUTHTOWNS CHILDREN'S SLP, PT & OT ASSOCIATES
Practice address
3755 Abbott Road
Orchard Park, NY 14127-2115
Phone
(716) 202-1161
Fax
(716) 202-4423
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Mrs. Lisa L Nowakowski
Title
Ceo/Cfo
Phone
(716) 794-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 012225 NY Primary

Addresses

Primary practice location

3755 Abbott Road
Orchard Park, NY 14127-2115

Mailing address

3755 Abbott Road
Orchard Park, NY 14127-2115
Phone (716) 202-1161

Other names 1

  • Southtowns Children's SLP, PT & OT Associates PLLC Other name

National Provider Directory

National Provider Directory

Locations

4535 Southwestern Blvd
Ste 203
Hamburg, NY 14075
Phone (716) 202-1161

3755 Abbott Rd
Orchard Park, NY 14127
Phone (716) 202-1161

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1356581367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ABBOTT ROAD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272115",
            "telephone_number": "716-202-1161",
            "fax_number": "716-202-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ABBOTT ROAD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272115",
            "telephone_number": "716-202-1161",
            "fax_number": "716-202-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNS CHILDREN'S SLP, PT & OT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "NOWAKOWSKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "716-794-3535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "012225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southtowns Children's SLP, PT & OT Associates PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Southtowns Children's SLP, PT & OT Associates PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.