Organization Active NPI

Therapetic Resources

  • Early Intervention Provider Agency
  • Long Island City, NY
National Provider Identifier
1831480383
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
014618 Issued in NY
Legal business name
THERAPETIC RESOURCES
Practice address
36-36 33Rd Street
Suite 500 Therapetic Resources
Long Island City, NY 11106
Phone
(212) 589-1224
Fax
(646) 218-3756
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Jacqueline Polanco, OTR/LNPI 1477830438
Title
Occupational Therapy
Phone
(347) 449-0360

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 014618 NY Primary

Addresses

Primary practice location

36-36 33Rd Street
Suite 500 Therapetic Resources
Long Island City, NY 11106

Mailing address

619 Vincent Ave
Bronx, NY 10465-1720
Phone (347) 449-9360

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1831480383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 VINCENT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651720",
            "telephone_number": "347-449-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36-36 33RD STREET",
            "address_2": "SUITE 500 THERAPETIC RESOURCES",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "212-589-1224",
            "fax_number": "646-218-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPETIC RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "347-449-0360",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "014618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.