Organization Active NPI

Connections

  • Early Intervention Provider Agency
  • Syracuse, NY
National Provider Identifier
1588083216
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
002309 Issued in NY
Legal business name
CONNECTIONS
Practice address
1744 W Genesee St
Syracuse, NY 13204-1902
Phone
(315) 468-3414
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Ms. Mary Beth Witte, COTA
Title
Certified Occupational Therapy Asst
Phone
(315) 935-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 002309 NY Primary

Addresses

Primary practice location

1744 W Genesee St
Syracuse, NY 13204-1902

Mailing address

1744 W Genesee St
Syracuse, NY 13204-1902
Phone (315) 468-3414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1588083216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041902",
            "telephone_number": "315-468-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041902",
            "telephone_number": "315-468-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASST",
        "authorized_official_telephone_number": "315-935-5780",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "002309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.