Organization Active NPI

CDK Abilities Physical Therapy, Speech Language Pathology

Doing business as dba Tiny Hands Abilities

  • Early Intervention Provider Agency
  • Glens Falls, NY
National Provider Identifier
1710315718
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
006990 Issued in NY
Legal business name
CDK ABILITIES PHYSICAL THERAPY, SPEECH LANGUAGE PATHOLOGY
Doing business as
dba Tiny Hands Abilities
Practice address
100 Maple Street
Glensfalls, NY 12801-3602
Phone
(518) 307-3494
Fax
(518) 541-2091
NPI assigned
Oct 29, 2013
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Mrs. Melissa M Dunbar, MS CCCSLPNPI 1275601130
Title
Owner/Partner Manager
Phone
(518) 307-3494

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 006990 NY Primary

Addresses

Primary practice location

100 Maple Street
Glensfalls, NY 12801-3602

Mailing address

25 Brookfield Run
Queensbury, NY 12804-8796
Phone (518) 307-3494

Other identifiers 1

IdentifierTypeStateIssuer
03796458-CRMedicaidNY

Other names 1

  • dba Tiny Hands Abilities Doing business as

National Provider Directory

National Provider Directory

Locations

100 Maple St
Glens Falls, NY 12801
Phone (518) 307-3494

Practitioners & affiliated clinicians

Practitioners 2

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": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1710315718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BROOKFIELD RUN",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048796",
            "telephone_number": "518-307-3494",
            "fax_number": "518-541-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE STREET",
            "city": "GLENSFALLS",
            "state": "NY",
            "postal_code": "128013602",
            "telephone_number": "518-307-3494",
            "fax_number": "518-541-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDK ABILITIES PHYSICAL THERAPY, SPEECH LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PARTNER MANAGER",
        "authorized_official_telephone_number": "518-307-3494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCCSLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "006990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03796458-CR",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Tiny Hands Abilities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.