Organization Active NPI

Sunshine Therapeutic Services

  • Early Intervention Provider Agency
  • Long Pond, PA
National Provider Identifier
1720252448
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SUNSHINE THERAPEUTIC SERVICES
Practice address
1510 Al Unser Road
Long Pond, PA 18334-0041
Phone
(570) 656-2062
Fax
(570) 643-2867
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mrs. Suzanne R. Igdalsky, M.S. CCC/SLPNPI 1699941278
Title
Administrator/Owner
Phone
(570) 656-2062

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 Primary

Addresses

Primary practice location

1510 Al Unser Road
Long Pond, PA 18334-0041

Mailing address

PO Box 41
1510 Al Unser Road
Long Pond, PA 18334-0041
Phone (570) 656-2062

Other identifiers 1

IdentifierTypeStateIssuer
101508344MedicaidPA

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1720252448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "address_2": "1510 AL UNSER ROAD",
            "city": "LONG POND",
            "state": "PA",
            "postal_code": "183340041",
            "telephone_number": "570-656-2062",
            "fax_number": "570-643-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 AL UNSER ROAD",
            "city": "LONG POND",
            "state": "PA",
            "postal_code": "183340041",
            "telephone_number": "570-656-2062",
            "fax_number": "570-643-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "IGDALSKY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "570-656-2062",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101508344",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Pond, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.