Active NPI
Step It Up Dance Therapy LLC
- Dance Therapist
- Glendale, AZ
National Provider Identifier
1649753534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dance Therapist
- License
- 611885971
- Legal business name
- STEP IT UP DANCE THERAPY LLC
- Practice address
- 5270 N 59TH Ave Ste 9
Glendale, AZ 85301-6763 - Phone
- (623) 235-1446
- NPI assigned
- Sep 7, 2018
- 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
- Jamie Klinginsmith
- Title
- Owner
- Phone
- (623) 235-1446
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 611885971 | AZ | |
| Dance Therapist | 225600000X | 611885971 | AZ | Primary |
| Day Training/Habilitation Specialist | 373H00000X | 611885971 | AZ |
Addresses
Primary practice location
5270 N 59TH Ave Ste 9
Glendale, AZ 85301-6763
Mailing address
6914 W Colter St
Glendale, AZ 85303-5819
Phone (623) 235-1446
National Provider Directory
National Provider DirectoryLocations
5270 N 59th Ave
Ste 9
Glendale, AZ 85301
Phone (623) 235-1446
Practitioners & affiliated clinicians
Practitioners 1
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": "1536278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536278400000",
"number": "1649753534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6914 W COLTER ST",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853035819",
"telephone_number": "623-235-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 N 59TH AVE STE 9",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853016763",
"telephone_number": "623-235-1446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEP IT UP DANCE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A",
"authorized_official_last_name": "KLINGINSMITH",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-235-1446"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": "AZ",
"license": "611885971",
"primary": false
},
{
"code": "225600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dance Therapist",
"state": "AZ",
"license": "611885971",
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": "AZ",
"license": "611885971",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.