Frank Edward Nutt III, MS CCC/SLP

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

022942-1 Issued in NY

Practice address

35 Twin Oaks Dr.
Campbell Hall, NY 10916-2107

Phone

(845) 728-1623

Fax

(845) 651-1129

NPI assigned

Jul 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orange County Therapy Group: SLP, PT, OT , PLLC

  • Early Intervention Provider Agency
  • Campbell Hall, NY
  • NPI 1003411281
  NPD Authorized official

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1770924201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TWIN OAKS DR.",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162107",
            "telephone_number": "845-728-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TWIN OAKS DR.",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162107",
            "telephone_number": "845-728-1623",
            "fax_number": "845-651-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTT",
        "first_name": "FRANK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022942-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "022942-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lugo, M.S., ED
• Emily Miller, C.O.T.A.
• Karina Monegro, DC,MS
• Montefiore Medical Center
• David Morales
• Amy O'Connor
• Olanrewaju Olukitibi, M.D.
• Orange County Therapy Group: SLP, PT, OT , PLLC
• Jordyn Alexandra Pasciuto
• Agathe Charles Pierre-Louis, PSY.D.

• Early Intervention Provider Agency in Campbell Hall, NY
• Providers in Campbell Hall, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.