Theracare

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

391713101 Issued in NY

Legal business name

THERACARE

Practice address

21050 41St Ave
4C
Bayside, NY 11361-1965

Phone

(631) 839-4703

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Ulette Fields

Title

Staffing Coordinator

Phone

(718) 830-9274

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.

• Kate Sanderson-Hoey

  • Specialist
  • Bayside, NY
  • NPI 1558704817
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1497017255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21050 41ST AVE",
            "address_2": "4C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611965",
            "telephone_number": "631-839-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21050 41ST AVE",
            "address_2": "4C",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611965",
            "telephone_number": "631-839-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "ULETTE",
        "authorized_official_title_or_position": "STAFFING COORDINATOR",
        "authorized_official_telephone_number": "718-830-9274"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "391713101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Tetelbaum, OTR/L
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• Kevin A Thomas, LMT
• Kofoworola Thomas, R.N.

• Early Intervention Provider Agency in Bayside, NY
• Providers in Bayside, 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 Jun 7, 2012; 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.