LEGENDARY THERAPY (NPI# 1770915910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770915910 |
| Entity Type | Organization |
| Organization Name | LEGENDARY THERAPY |
| Practice Address |
997 Stafford Ave Staten Island NY 10309-2109 |
| Mailing Address |
9840 64th Ave Apt 6c Rego Park NY 11374-2545 |
| Practice Telephone | 7189481900 |
| Mailing Telephone | 7185064310 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | MRS. VICTORIA RUBINOV (SLP-CFY) |
| Authorized Official Telephone | 7185064310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760869390 | Legendary Therapy | Early Intervention Provider Agency | 91-63 110st, Richmond Hill, NY 11418 | 2015-05-04 |
| 1538422498 | Legendary Therapy | Local Education Agency (LEA) | 225 E 34th St Apt 10h, New York, NY 10016-4737 | 2012-06-16 |
| 1003201062 | Legendary Therapy | Early Intervention Provider Agency | 1925 Williamsbridge Rd, Bronx, NY 10461-1604 | 2015-04-06 |
| 1861837288 | Legendary Therapy | Early Intervention Provider Agency | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2013-04-30 |
| Street Address |
997 STAFFORD AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447563242 | Jessica Klemp | Occupational Therapist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2010-07-21 |
| 1639780950 | Christina Bruno | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2020-08-11 |
| 1154931681 | Erin Whalen | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2020-08-10 |
| 1154882264 | Elana C Nawy | Contractor | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2019-03-29 |
| 1790223642 | Jessica Gausmann | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2017-02-10 |
| 1619429008 | Bintu Tiamiyu | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2016-11-01 |
| 1093261596 | Su Jin Rhee | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2016-08-25 |
| 1629521505 | Hannah Biton | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2016-07-27 |
| 1194278010 | Amanda Hazzard | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2016-07-27 |
| 1679925713 | Emily Toich | Speech-Language Pathologist | 997 Stafford Ave, Staten Island, NY 10309-2109 | 2016-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666161 | Jenice Nicolette Gill-richardson | Local Education Agency (LEA) | 33 Elizabeth St, Staten Island, NY 10310-1933 | 2020-10-15 |
| 1063940385 | Liza Yefimova | Local Education Agency (LEA) | 578 Travis Ave, Staten Island, NY 10314-4802 | 2017-05-31 |
| 1922435635 | D&m Super Kids, LLC | Local Education Agency (LEA) | 21 Kayla Ct, Staten Island, NY 10306-1317 | 2013-09-27 |
| 1205188984 | Ruth Mayo | Local Education Agency (LEA) | 24 Boone Street, Staten Island, NY 10314 | 2012-10-05 |
| 1245517887 | Abigail Crapo-hoenig | Local Education Agency (LEA) | 372 Gansevoort Blvd, Staten Island, NY 10314-5117 | 2011-11-10 |
| 1275861304 | Children At Play Early Intervention Center | Local Education Agency (LEA) | 40 Merrill Ave, Staten Island, NY 10314-3312 | 2009-12-01 |
| 1427572924 | Richard Diomede | Local Education Agency (LEA) | 144 Keating Pl, Staten Island, NY 10314 | 2017-07-27 |
| 1154701340 | Ranin Awad | Local Education Agency (LEA) | 1781 Richmond Rd, Staten Island, NY 10306-2524 | 2015-06-03 |
| 1083980924 | Department of Education | Local Education Agency (LEA) | 155 Tompkins Ave, Staten Island, NY 10304-2601 | 2012-03-26 |
| 1669770608 | Tanglewood Montessori Corporation | Local Education Agency (LEA) | 15 Tanglewood Dr, Staten Island, NY 10308-1853 | 2011-02-28 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
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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.