NPIMap

Organization Active NPI

Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic

  • Early Intervention Provider Agency
  • Center Moriches, NY
National Provider Identifier
1649414723
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
007249-1 Issued in NY
Legal business name
OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC
Practice address
77 Union Ave
Center Moriches, NY 11934-3213
Phone
(631) 874-0571
Fax
(631) 878-0527
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Ms. Krista Debler, OTR/L
Title
Owner
Phone
(631) 874-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 007249-1 NY Primary

Addresses

Primary practice location

77 Union Ave
Center Moriches, NY 11934-3213

Mailing address

PO Box 1312
Center Moriches, NY 11934-7312
Phone (631) 874-0571

National Provider Directory

National Provider Directory
Tax ID family
Out East Therapy of New York for OT PT SLP RN and Psychology Servic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1649414723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119347312",
            "telephone_number": "631-874-0571",
            "fax_number": "631-878-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 UNION AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343213",
            "telephone_number": "631-874-0571",
            "fax_number": "631-878-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT EAST THERAPY OF NEW YORK FOR OT, PT, SLP, RN AND PSYCHOLOGY SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "DEBLER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-874-0571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "007249-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.