Pediatric Physical Therapy Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

009480-1 Issued in NY

Legal business name

PEDIATRIC PHYSICAL THERAPY SERVICES

Practice address

17 Edgebrook Rd
Binghamton, NY 13903-1449

Phone

(607) 727-4423

Fax

(607) 723-9779

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Mary Louise Scheffield, P.T.

Title

Owner

Phone

(607) 727-4423

Specialties & licenses 1

Addresses

Practitioners 1

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

• Amy M Ivan, L.P.T.A.

  • Physical Therapy Assistant
  • Kirkwood, NY
  • NPI 1194034439
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1477783561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EDGEBROOK RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031449",
            "telephone_number": "607-727-4423",
            "fax_number": "607-723-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EDGEBROOK RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031449",
            "telephone_number": "607-727-4423",
            "fax_number": "607-723-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "SCHEFFIELD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-727-4423",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "009480-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Renee Paulino, LMSW
• Stephen L Paushter, MD
• William C Payes, MD
• Desiree Peavy-McClintock
• Holly Joy Peck, PMHNP
• Jonathan James Pelc
• Theresa Pelzel Poklemba, PHARMD
• Stacey A Pendell, PNP-BC
• Penn York Medical Supplies Inc.
• Shawn Michael Pepples, CASAC-T

• Early Intervention Provider Agency in Binghamton, NY
• Providers in Binghamton, 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 23, 2009; 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.