Integrated Therapy Services 0F Wny,OT/PT/SLP.PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

919212991 Issued in NY

Legal business name

INTEGRATED THERAPY SERVICES 0F WNY,OT/PT/SLP.PLLC

Practice address

25 Liberty St
Batavia, NY 14020-3246

Phone

(585) 343-1840

Fax

(585) 343-2185

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Marge Mikulski, OT

Title

Owner

Phone

(585) 343-1840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1356601462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LIBERTY ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203246",
            "telephone_number": "585-343-1840",
            "fax_number": "585-343-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LIBERTY ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203246",
            "telephone_number": "585-343-1840",
            "fax_number": "585-343-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY SERVICES 0F WNY,OT/PT/SLP.PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "MIKULSKI",
        "authorized_official_first_name": "MARGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-343-1840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "919212991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hyback, OTR/L
• Jeff Hyde, BA
• Muhammad S Idrees, MD
• Nicholas Ilasi
• Integrated Therapy of Wny,OT/PT/SLP,PLLC
• Irene a Burns
• J Bradley Ecker, DDS Pediatric Dentistry
• Joann Jacobi, RD CDN
• John C Jaeger, MD
• Lalit Kumar Jain, MD, FAAP

• Early Intervention Provider Agency in Batavia, NY
• Providers in Batavia, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.