Innovative Pediatric Therapies PT OT Slp PLLC
NPI 1023304995 · Physical Therapy Clinic/Center · Nyack, NY
Innovative Pediatric Therapies PT OT Slp PLLC is a Physical Therapy Clinic/Center organization in Nyack, NY (NPI 1023304995).
Provider details
- NPI number
- 1023304995
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lise Petricone, President(845) 353-3331
- License
- 003760-1 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-20
- Last updated
- 2011-09-23
Frequently asked questions
- What is Innovative Pediatric Therapies PT OT Slp PLLC's NPI number?
- Innovative Pediatric Therapies PT OT Slp PLLC's National Provider Identifier (NPI) is 1023304995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Pediatric Therapies PT OT Slp PLLC?
- Innovative Pediatric Therapies PT OT Slp PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Innovative Pediatric Therapies PT OT Slp PLLC located?
- Innovative Pediatric Therapies PT OT Slp PLLC's practice location on file with NPPES is 31 Burd St, Nyack, NY 10960-3205.
- What is Innovative Pediatric Therapies PT OT Slp PLLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Pediatric Therapies PT OT Slp PLLC is (845) 353-3331.
- Who is the authorized official for Innovative Pediatric Therapies PT OT Slp PLLC?
- The authorized official listed on Innovative Pediatric Therapies PT OT Slp PLLC's NPPES record is Lise Petricone, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Pediatric Therapies PT OT Slp PLLC's NPI active?
- Yes — Innovative Pediatric Therapies PT OT Slp PLLC's NPI (1023304995) is active in the NPPES registry as of the last update on 2011-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.