NPIMap

Organization Active NPI

Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic

  • Contractor
  • Center Moriches, NY
National Provider Identifier
1427370501
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
007249 Issued in NY
Legal business name
OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC
Practice address
77 Union Ave
Center Moriches, NY 11934-3213
Phone
(631) 874-0571
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Krista Debler
Title
Owner
Phone
(631) 874-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X 007249 NY Primary

Addresses

Primary practice location

77 Union Ave
Center Moriches, NY 11934-3213

Mailing address

77 Union Ave
Center Moriches, NY 11934-3213

National Provider Directory

National Provider Directory
Tax ID family
Out East Therapy of New York for OT PT SLP RN and Psychology Servic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1427370501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 UNION AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 UNION AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343213",
            "telephone_number": "631-874-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "DEBLER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-874-0571"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "NY",
            "license": "007249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.