Active NPI
Spark Therapy Services LLC
- Clinic/Center
- University Heights, OH
National Provider Identifier
1609394691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SPARK THERAPY SERVICES LLC
- Practice address
- 14402 Washington Blvd
University Heights, OH 44118-4626 - Phone
- (718) 688-5866
- NPI assigned
- Aug 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Esther Sochaczewsky, CCC-SLP
- Title
- Owner
- Phone
- (718) 688-5866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
14402 Washington Blvd
University Heights, OH 44118-4626
Mailing address
14402 Washington Blvd
University Heights, OH 44118-4626
Phone (347) 254-8541
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- University Heights, OH
- NPI 1780105106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1609394691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14402 WASHINGTON BLVD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441184626",
"telephone_number": "347-254-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14402 WASHINGTON BLVD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441184626",
"telephone_number": "718-688-5866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARK THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-30",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "SOCHACZEWSKY",
"authorized_official_first_name": "ESTHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-688-5866",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.