Exceptional Kidz Rehabilitation

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

EXCEPTIONAL KIDZ REHABILITATION

Practice address

3 Bridge St
Physical Therapy Suite
Carthage, NY 13619-1360

Phone

(215) 613-6523

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Monica LasalleNPI 1821200668

Title

Owner

Phone

(215) 613-6523

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Therese La Salle, MA CCC SLP

  • Speech-Language Pathologist
  • North Wildwood, NJ
  • NPI 1821200668
  NPD (past) Authorized official

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1801219092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BUSTLETON AVE",
            "address_2": "SUITE 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161188",
            "telephone_number": "215-631-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIDGE ST",
            "address_2": "PHYSICAL THERAPY SUITE",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191360",
            "telephone_number": "215-613-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL KIDZ REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "LASALLE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-613-6523"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Maria Dunn
• Stephanie Hazel Dunn, LPN
• Jessica Lynn Edwards, LPN
• Marlene Hajal El-Hajal Mouaikel, M.D.
• Rachel Ellingsworth
• Vania M Falen, M.A., CCC-SLP
• Family Medicine of Carthage, PC
• Family Practice Associates, P.C
• Phillis B Farrell, NP
• Suzanne Fazekas, CCC-SLP

• Rehabilitation Clinic/Center in Carthage, NY
• Providers in Carthage, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.