NPIMap

Organization Active NPI

Interactive Therapy Group

  • Early Intervention Provider Agency
  • Rockaway Park, NY
National Provider Identifier
1831503176
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2596980 Issued in NY
Legal business name
INTERACTIVE THERAPY GROUP
Practice address
10500 Shore Front Pkwy Apt 7K
Rockaway Park, NY 11694-2756
Phone
(718) 679-6931
NPI assigned
Jun 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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

Authorized official

Name
Kristi Moore, M.S.NPI 1649687849
Title
Seit
Phone
(718) 679-6931

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 2596980 NY Primary

Addresses

Primary practice location

10500 Shore Front Pkwy Apt 7K
Rockaway Park, NY 11694-2756

Mailing address

10500 Shore Front Pkwy Apt 7K
Rockaway Park, NY 11694-2756
Phone (718) 679-6931

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

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": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402790400000",
    "number": "1831503176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 SHORE FRONT PKWY APT 7K",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942756",
            "telephone_number": "718-679-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 SHORE FRONT PKWY APT 7K",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942756",
            "telephone_number": "718-679-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-06-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "SEIT",
        "authorized_official_telephone_number": "718-679-6931",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "2596980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.