Thercare

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

362694726 Issued in NY

Legal business name

THERCARE

Practice address

2025 Richmond Avenue
Suite 200
Staten Island, NY 10314

Phone

(718) 698-1753

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Stephanie Roxana GutierrezNPI 1033662150

Title

Service Coordinator

Phone

(718) 354-6543

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Stephanie Roxana Gutierrez

  • Specialist
  • Staten Island, NY
  • NPI 1033662150
  NPD (past) Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1386097897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LOCUST AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-354-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 RICHMOND AVENUE",
            "address_2": "SUITE 200",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-698-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ROXANA",
        "authorized_official_title_or_position": "SERVICE COORDINATOR",
        "authorized_official_telephone_number": "718-354-6543"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "362694726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "741130047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy Masters, LLC
• Therapy Pros O.T.& Educational Services, PLLC.
• Therapy Pros, LLP
• Therapy Zone Licensed Clinical Social Work Services PLLC
• Theraworks Physical Therapy, PC
• Rajam Theventhiran
• Shanmugasundaram Theventhiran, MD
• Victoria Thiel
• Menaka Deepani Thilakarathne, MS, FNP-BC, FNP-C
• Think DO Say Speech Therapy PLLC

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, 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 Jul 20, 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.