NPIMap

Organization Active NPI

Uniquely Different Therapeutic Services

  • Case Manager/Care Coordinator
  • Chesapeake, VA
National Provider Identifier
1790465474
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
UNIQUELY DIFFERENT THERAPEUTIC SERVICES
Practice address
533 Rebel Rd
Chesapeake, VA 23322-3523
Phone
(757) 777-5240
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Sabrina GordonNPI 1891474706
Title
Owner
Phone
(757) 777-5240

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

533 Rebel Rd
Chesapeake, VA 23322-3523

Mailing address

533 Rebel Rd
Chesapeake, VA 23322-3523
Phone (757) 777-5240

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": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1790465474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 REBEL RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223523",
            "telephone_number": "757-777-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 REBEL RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223523",
            "telephone_number": "757-777-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUELY DIFFERENT THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-777-5240"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.