Northern Therapy Group, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NORTHERN THERAPY GROUP, INC.

Practice address

5820 Stoneridge Mall Rd Ste 203
Pleasanton, CA 94588-3200

Phone

(925) 818-1362

NPI assigned

Jun 25, 2015

Organization subpart

No

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

Authorized official

Name

Haleh PezeshkanNPI 1962886226

Title

President

Phone

(925) 818-1362

Specialties & licenses 3

Addresses

Practitioners 1

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

• Haleh Pezeshkan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Pleasanton, CA
  • NPI 1962886226
  NPD (past) Authorized official

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1619359635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3128",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 203",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883200",
            "telephone_number": "925-818-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "PEZESHKAN",
        "authorized_official_first_name": "HALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-818-1362"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norcal Imaging
• Stephen Reese Nord, MD
• Lawrence Stroud Nordhoff Jr., D.C.
• Nordstrom Inc & Subsidiaries
• Will A. North, MD
• Joyce Evangeline Norton-Jones, R.N.N.P.
• Nowrx Inc (Nowrx)
• Summerlynn Nugen
• Heidi Nunez
• Ruth Nunez

• Early Intervention Provider Agency in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.