NPI 1609576875 · live from the CMS NPI Registry
Alive Rehab INC
Speech-Language Pathologist, in Springfield Gardens, NY. National Provider Identifier 1609576875, active.
NPI record
| NPI | 1609576875 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 122-48 Milburn Street, Springfield Gardens, NY 11413 |
| Practice phone | 516-312-3513 |
| Enumerated | March 7, 2023 |
| Last updated | March 7, 2023 |
| Authorized official | Kerri-Ann Austin De Castro, Ceo/Speech-Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Audiologist | 231H00000X | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.