Possibilities Northeast, LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

POSSIBILITIES NORTHEAST, LLC.

Practice address

4935 Hillegas Rd Ste 200
Fort Wayne, IN 46818-1934

Phone

(260) 338-1241

NPI assigned

Feb 8, 2007

Last updated

Feb 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy L MooreNPI 1902946791

Title

Executive Director

Phone

(260) 338-1241

Specialties & licenses 7

Addresses

Tax ID family

Possibilities Northeast2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Possibilities Northeast, LLC

  • Multi-Specialty Clinic/Center
  • Fort Wayne, IN
  • NPI 1063616340
  NPD tax ID

Locations

Practitioners 238

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.

• Nancy L Moore

  • Day Training/Habilitation Specialist
  • Fort Wayne, IN
  • NPI 1902946791
  Authorized official Same address or phone
• Alyssa Adair

  • Behavior Technician
  • Fort Wayne, IN
  • NPI 1619849858
  NPD (past)
• Becky Anderson

  • Behavior Technician
  • Fort Wayne, IN
  • NPI 1871309864
  NPD (past)
• Lakiria Armour

  • Behavior Technician
  • Fort Wayne, IN
  • NPI 1780342683
  NPD (past)
• Abigail Rose Baird, OTR/L

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1447178363
  NPD (past)
• Taj Baker Weathers

  • Behavior Technician
  • Fort Wayne, IN
  • NPI 1689390775
  NPD (past)
• Anna Barg, OTR/L

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1356232870
  NPD (past)
• Sydney Barnum, MA, BCBA

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1861140121
  NPD (past)
• Samantha Bartley, OT

  • Pediatric Occupational Therapist
  • Fort Wayne, IN
  • NPI 1306239561
  NPD (past)
• Wende Beedle

  • Developmental Therapist
  • Fort Wayne, IN
  • NPI 1821571209
  NPD (past)
• Jayden Berkshire

  • Behavior Technician
  • Fort Wayne, IN
  • NPI 1598571580
  NPD (past)
• Addison Berry

  • Behavior Technician
  • Fort Wayne, IN
  • NPI 1447067632
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1881734697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80867",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468980867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 HILLEGAS RD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181934",
            "telephone_number": "260-338-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSSIBILITIES NORTHEAST, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-338-1241"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "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": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Positive Expressions Inc
• Positive Perceptions LLC
• Positively Impacting Families LLC.
• Possibilities Northeast, LLC
• Post-Acute Physicians of Indiana LLC
• Ellie Postel, RD, LD
• Courtney E Poswinski, MD
• Riley Cadence Potchka
• Tiffany N Poteat, CNM

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.