NPIMap

Organization Active NPI

Kidsabilitation Inc.

  • Early Intervention Provider Agency
  • Floral Park, NY
National Provider Identifier
1780116616
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
PT024147 Issued in NY
Legal business name
KIDSABILITATION INC.
Practice address
8047 268TH St
Floral Park, NY 11004-1543
Phone
(516) 263-0418
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Marissa V Victorio, PTNPI 1134363567
Title
President
Phone
(516) 395-3992

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 PT024147 NY Primary

Addresses

Primary practice location

8047 268TH St
Floral Park, NY 11004-1543

Mailing address

8047 268TH St
Floral Park, NY 11004-1543
Phone (516) 263-0418

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1780116616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8047 268TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041543",
            "telephone_number": "516-263-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8047 268TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041543",
            "telephone_number": "516-263-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "VICTORIO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-395-3992",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "PT024147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.