NPIMap

Organization Active NPI

Legendary Therapy

  • Early Intervention Provider Agency
  • Richmond Hill, NY
National Provider Identifier
1760869390
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
24582 Issued in NY
Legal business name
LEGENDARY THERAPY
Practice address
91-63 110St
Richmond Hill, NY 11418
Phone
(917) 723-6653
NPI assigned
May 4, 2015
Organization subpart
Yes
Parent organization
LEGENDARY THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Mrs. Rachel Weis
Title
Director
Phone
(917) 460-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 24582 NY Primary

Addresses

Primary practice location

91-63 110St
Richmond Hill, NY 11418

Mailing address

9163 110TH St
Richmond Hill, NY 11418-2310
Phone (917) 723-6653

National Provider Directory

National Provider Directory
Tax ID family
Legendary Speech Pathology PLLC6 organizations share this tax ID, including this one
Part of
Legendary Speech Pathology PLLC

Other organizations with this tax ID 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1760869390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9163 110TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182310",
            "telephone_number": "917-723-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-63 110ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "917-723-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGENDARY THERAPY",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "WEIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-460-7098",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "24582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.