Organization Active NPI

Bouncing Butterflies OT PLLC

  • Developmental Disabilities Clinic/Center
  • Clifton Park, NY
National Provider Identifier
1386479285
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
BOUNCING BUTTERFLIES OT PLLC
Practice address
1536 Crescent Rd
Clifton Park, NY 12065-7729
Phone
(518) 417-9213
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
McKenna Fleming, MS,OTR/LNPI 1063912236
Title
Owner
Phone
(518) 417-9213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1536 Crescent Rd
Clifton Park, NY 12065-7729

Mailing address

1536 Crescent Rd
Clifton Park, NY 12065-7729
Phone (518) 417-9213

National Provider Directory

National Provider Directory

Locations

1536 Crescent Rd
Clifton Park, NY 12065
Phone (518) 288-7054

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1386479285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 CRESCENT RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120657729",
            "telephone_number": "518-417-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 CRESCENT RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120657729",
            "telephone_number": "518-417-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCING BUTTERFLIES OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "MCKENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-417-9213",
        "authorized_official_credential": "MS,OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.