Organization Active NPI

Therapy Depot Inc

  • Occupational Therapist
  • Elmhurst, NY
National Provider Identifier
1700176880
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013454 Issued in NY
Legal business name
THERAPY DEPOT INC
Practice address
4222 Ketcham St
12D
Elmhurst, NY 11373-2368
Phone
(917) 500-7971
NPI assigned
Apr 11, 2011
Last updated
Apr 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Ms. Sabina Balic
Title
Ceo
Phone
(917) 500-7971

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025953 NY
Occupational Therapist 225X00000X 013454 NY Primary
Speech-Language Pathologist 235Z00000X 010204 NY

Addresses

Primary practice location

4222 Ketcham St
12D
Elmhurst, NY 11373-2368

Mailing address

4222 Ketcham St
12D
Elmhurst, NY 11373-2368
Phone (917) 500-7971

National Provider Directory

National Provider Directory
Tax ID family
Little Peoples Promises2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1700176880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 KETCHAM ST",
            "address_2": "12D",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732368",
            "telephone_number": "917-500-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 KETCHAM ST",
            "address_2": "12D",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732368",
            "telephone_number": "917-500-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY DEPOT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BALIC",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-500-7971",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025953",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013454",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.