Organization Active NPI

Liberty Family Services ,LLC

  • Developmental Therapist
  • Norfolk, VA
National Provider Identifier
1730228222
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
LIBERTY FAMILY SERVICES ,LLC
Practice address
6330 Newtown Rd
509
Norfolk, VA 23502-4802
Phone
(757) 466-3336
Fax
(757) 216-4080
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sonya Ott
Title
Exec. Director
Phone
(757) 466-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

6330 Newtown Rd
509
Norfolk, VA 23502-4802

Mailing address

6330 Newtown Rd
509
Norfolk, VA 23502-4802
Phone (757) 466-3336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730228222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "509",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-216-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "509",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-216-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FAMILY SERVICES ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "757-466-3336"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.