NPIMap

Organization Active NPI

Reva Reid Therapy Services

  • Early Intervention Provider Agency
  • Binghamton, NY
National Provider Identifier
1962649467
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
005407-1 Issued in NY
Legal business name
REVA REID THERAPY SERVICES
Practice address
3390 Hance Rd
Binghamton, NY 13903-5756
Phone
(607) 669-4891
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Marie Reva Reid, MSED, MOTNPI 1902041130
Title
Owner
Phone
(607) 669-4891

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 005407-1 NY Primary

Addresses

Primary practice location

3390 Hance Rd
Binghamton, NY 13903-5756

Mailing address

3390 Hance Rd
Binghamton, NY 13903-5756
Phone (607) 669-4891

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1962649467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 HANCE RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139035756",
            "telephone_number": "607-669-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 HANCE RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139035756",
            "telephone_number": "607-669-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVA REID THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "REVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-669-4891",
        "authorized_official_credential": "MSED, MOT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "005407-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.