Organization Active NPI

Step It Up Dance Therapy LLC

  • Dance Therapist
  • Glendale, AZ
National Provider Identifier
1649753534
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
License
611885971 Issued in AZ
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

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Jamie KlinginsmithNPI 1407337918
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)CodeLicenseStatePrimary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X 611885971 AZ
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X 611885971 AZ Primary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.