LK Therapy PT, OT and SLP PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

025596 Issued in NY

Legal business name

LK THERAPY PT, OT AND SLP PLLC

Practice address

41 County Route 49
Slate Hill, NY 10973-3713

Phone

(845) 697-5064

Fax

(845) 697-5064

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Patrick Joseph Forde

Title

Office Manager

Phone

(845) 697-5064

Specialties & licenses 2

Addresses

Other identifiers 8

Tax ID family

LK Therapy PT OT and SLP PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• LK Therapy PT, OT and SLP PLLC

  • Case Management Agency
  • Middletown, NY
  • NPI 1629610787
  NPD tax ID

Practitioners 2

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

• Mackenzie M Bogart, OTR

  • Occupational Therapist
  • Slate Hill, NY
  • NPI 1073004123
  NPD (past)
• Lauren Elizabeth Trainor, OTR/L

  • Occupational Therapist
  • Liberty, NY
  • NPI 1003318361
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1689175713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 COUNTY ROUTE 49",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109733713",
            "telephone_number": "845-697-5064",
            "fax_number": "845-697-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 COUNTY ROUTE 49",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109733713",
            "telephone_number": "845-697-5064",
            "fax_number": "845-697-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK THERAPY PT, OT AND SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-697-5064"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "025596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487021242",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871961946",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043625148",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104118462",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811363393",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326170986",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720489040",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922545938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Hulle, MS, TSHH, CCC-SLP
• Kimberly Jesram
• Edward F Klein, D.O.
• Jamie L Lange
• Sherry J. Lee, R.N.
• Michele L McCoy, SCHOOL PSYCHOLOGIST
• Patricia Marie McElduff, LMSW
• Minisink Valley Central School District
• Amber R Moore, M.S., ED, NCSP
• Kellylynn Moran, COTA/L

• Early Intervention Provider Agency in Slate Hill, NY
• Providers in Slate Hill, 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 Nov 26, 2019; 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.