Creative Therapies of Wny

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

008726-1 Issued in NY

Legal business name

CREATIVE THERAPIES OF WNY

Practice address

7303 Windsor Dr
North Tonawanda, NY 14120-3739

Phone

(716) 472-1289

Fax

(716) 689-2916

NPI assigned

Dec 2, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Patricia A Jeffries

Title

Ceo/Co-Owner

Phone

(716) 472-1289

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.

• Emily Bovenzi, M.A.

  • Speech-Language Pathologist
  • North Tonawanda, NY
  • NPI 1518348960
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1649548868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 WINDSOR DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203739",
            "telephone_number": "716-472-1289",
            "fax_number": "716-689-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 WINDSOR DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203739",
            "telephone_number": "716-472-1289",
            "fax_number": "716-689-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPIES OF WNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/CO-OWNER",
        "authorized_official_telephone_number": "716-472-1289",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "008726-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Costantino
• Terri Lynn Courts-Kasprzak
• Sandra L Craft, SLP
• Ashley Crage
• Daniel Robert Craigie, LCSW
• Samantha Crocker
• Juliet L Crossland Sorensen, DC
• Stephanie Rose Czaja
• Marnie Czarnecki, OTR
• Eric Paul Czora, OD

• Early Intervention Provider Agency in North Tonawanda, NY
• Providers in North Tonawanda, 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 Dec 2, 2011; 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.