Lifespan PT OT &SLP Services PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

119347-1 Issued in NY

Legal business name

LIFESPAN PT OT &SLP SERVICES PLLC

Practice address

8842 State Route 90 N
King Ferry, NY 13081-8717

Phone

(315) 364-7570

Fax

(315) 364-8016

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dana E. Mandel, PT, PCS

Title

Owner

Phone

(315) 364-7570

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Cayla Burton, OT

  • Occupational Therapist
  • Lakewood, CO
  • NPI 1689339921
  NPD
• Laura B Delaney, NP

  • Family Nurse Practitioner
  • Moravia, NY
  • NPI 1326027673
  NPD (past)
• Mashelle M Jansen, NP

  • Family Nurse Practitioner
  • Moravia, NY
  • NPI 1598744880
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1881990935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8842 STATE ROUTE 90 N",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "130818717",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8842 STATE ROUTE 90 N",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "130818717",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PT OT &SLP SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-364-7570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, PCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "119347-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentry Nurse Practitioner in Family Health
• Robert Maurice Godbout, MHC
• Angela Grant-Cerasaro, MS, CCC, SLP
• Libby Danielle Kershner, OTR
• Thomas J Laclair, OTR
• Kirsta R Malone, OTR
• Mandel Therapy Group
• Dana E Mandel, PT, PCS
• Amber Lee Martin, OTR/L
• Margaret Martin, PT

• Physical Therapist in King Ferry, NY
• Providers in King Ferry, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.