NPIMap

Organization Active NPI

Eisny OT/PT/SLP PLLC

  • Early Intervention Provider Agency
  • Somers, NY
National Provider Identifier
1366768319
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
25296 Issued in NY
Legal business name
EISNY OT/PT/SLP PLLC
Practice address
189 Route 100
Somers, NY 10589-2811
Phone
(914) 373-6520
Fax
(914) 373-6521
NPI assigned
Apr 15, 2010
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Manjusha Mehra, OTRNPI 1790242915
Title
Managing Member
Phone
(914) 373-6520

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 25296 NY Primary

Addresses

Primary practice location

189 Route 100
Somers, NY 10589-2811

Mailing address

PO Box 441
Somers, NY 10589-0441
Phone (914) 373-6520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1366768319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105890441",
            "telephone_number": "914-373-6520",
            "fax_number": "914-373-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ROUTE 100",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892811",
            "telephone_number": "914-373-6520",
            "fax_number": "914-373-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISNY OT/PT/SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "MEHRA",
        "authorized_official_first_name": "MANJUSHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "914-373-6520",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "25296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.