OT, PT, SLP AND RN PLLC (NPI# 1699121400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699121400 |
| Entity Type | Organization |
| Organization Name | OT, PT, SLP AND RN PLLC |
| Other Organization Name | THERAPEUTIC HORIZONS |
| Practice Address |
5 Mallard Dr Newburgh NY 12550-8769 |
| Practice Telephone | 8454761661 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | ERIC SOLDANO (PARTNER) |
| Authorized Official Telephone | 8454761661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0019X |
Occupational Therapist Specialization: Physical Rehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Therapeutic Horizons | Doing Business As Name - Organization |
| Street Address |
5 MALLARD DR |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-8769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467904888 | Katie Surdam | Occupational Therapy Assistant | 5 Mallard Dr, Newburgh, NY 12550-8769 | 2016-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725730 | Gina M Quesnell | Technician | 1678 Main Street, Cassville, NY 13318 | 2019-11-25 |
| 1770127995 | Shelique Bailey | Technician | 3007 Olinville Ave Apt 3, Bronx, NY 10467-6707 | 2019-10-30 |
| 1649825183 | Jacqueline Montoya | Technician | 3750 Hudson Manor Ter Apt 2ce, Bronx, NY 10463-1133 | 2019-08-01 |
| 1831759182 | Nidal Isa | Technician | 31 Riverview Pl, Yonkers, NY 10701-3405 | 2019-06-19 |
| 1528623956 | Mercy Cryz Kenny | Technician | 12 Three Sisters Rd, St James, NY 11780 | 2019-05-01 |
| 1952869695 | Careaide Direct, LLC | Technician | 2368 Adam Clayton Powell Blvd Suite 1f, New York, NY 10030 | 2019-03-12 |
| 1477025245 | Joan Vixamar | Technician | 50 Chelsea Ct Apt 16, Bohemia, NY 11716-3927 | 2018-12-18 |
| 1326577073 | Yeshaye Bergstein | Technician | 5409 19th Ave, Brooklyn, NY 11204 | 2017-06-07 |
| 1861930463 | Alexander S Chadaev | Technician | 40 Carolina Ave, Hempstead, NY 11550-7206 | 2017-02-03 |
| 1881050177 | Tzigane Lajeunesse | Technician | 1265 Hawthorn Rd, Niskayuna, NY 12309-4608 | 2016-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.