Active NPI
CDK Abilities Physical Therapy, Speech Language Pathology
Doing business as dba Tiny Hands Abilities
- Early Intervention Provider Agency
- Glens Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 006990
- 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, 2023
- 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
- Mrs. Melissa M Dunbar, MS CCCSLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03796458-CR | Medicaid | NY |
Other names 1
- dba Tiny Hands Abilities
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Queensbury, NY
- NPI 1275601130
-
- Speech-Language Pathologist
- Mechanicville, NY
- NPI 1346492436
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.