NPIMap

Organization Active NPI

Integrated Therapy of Wny,OT/PT/SLP,PLLC

  • Early Intervention Provider Agency
  • Batavia, NY
National Provider Identifier
1356639165
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
002134-1 Issued in NY
Legal business name
INTEGRATED THERAPY OF WNY,OT/PT/SLP,PLLC
Practice address
25 Liberty St Ste 5
Batavia, NY 14020-3246
Phone
(585) 343-1840
Fax
(585) 343-2185
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Ms. Marguerite Mary Mikulski, OTRNPI 1699923334
Title
Director
Phone
(585) 343-1840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 002134-1 NY Primary
Early Intervention Provider Agency 252Y00000X 006394-1 NY
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

25 Liberty St Ste 5
Batavia, NY 14020-3246

Mailing address

25 Liberty St Ste 5
Batavia, NY 14020-3246
Phone (585) 343-1840

National Provider Directory

National Provider Directory

Locations

25 Liberty St
Ste 5
Batavia, NY 14020
Phone (585) 343-1840

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1356639165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LIBERTY ST STE 5",
            "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 STE 5",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203246",
            "telephone_number": "585-343-1840",
            "fax_number": "585-343-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY OF WNY,OT/PT/SLP,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "MIKULSKI",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-343-1840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "002134-1",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "006394-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.