NPIMap

Organization Active NPI

Leap OT, PT & SLP PLLC

  • Early Intervention Provider Agency
  • Webster, NY
National Provider Identifier
1467698258
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
009318-1 Issued in NY
Legal business name
LEAP OT, PT & SLP PLLC
Practice address
700 Cottage Brook LN
Webster, NY 14580-8654
Phone
(585) 797-9366
Fax
(585) 486-1230
NPI assigned
Dec 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Mrs. Kim Susan Mauro, MS CCC SLP
Title
Owner/Director
Phone
(585) 797-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 009318-1 NY Primary

Addresses

Primary practice location

700 Cottage Brook LN
Webster, NY 14580-8654

Mailing address

700 Cottage Brook LN
Webster, NY 14580-8654
Phone (585) 797-9366

Other names 1

  • LEAP for Kids OT, PT & SLP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Language Education and Play for Kids OT SLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1467698258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COTTAGE BROOK LN",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808654",
            "telephone_number": "585-797-9366",
            "fax_number": "585-486-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COTTAGE BROOK LN",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808654",
            "telephone_number": "585-797-9366",
            "fax_number": "585-486-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP OT, PT & SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-28",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "585-797-9366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "009318-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAP for Kids OT, PT & SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.