INNOVATIVE PEDIATRIC THERAPIES PT OT SLP PLLC
NPI 1023304995
Clinic/Center - Physical Therapy in Nyack, NY

Active since June 20, 2011

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Pediatric Therapies Pt Ot Slp Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE PEDIATRIC THERAPIES PT OT SLP PLLC (NPI 1023304995) is a healthcare organization registered as a physical therapy in Nyack, New York and active in the NPI registry since June 2011. The organization lists Lise Petricone, President, as its authorized official.

NPPES Registry Identity

NPI1023304995
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameINNOVATIVE PEDIATRIC THERAPIES PT OT SLP PLLC
Location Address31 BURD STNyack, NY 10960-3205
Mailing Address31 Burd StreetNyack, NY 10960 · (845) 353-3331
Organization SubpartNo
Authorized OfficialLise PetriconePresident · (845) 353-3331
Enumeration DateJune 20, 2011
Last NPPES UpdateSeptember 23, 2011
NPI 1023304995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in NY · 009027-1
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X · License 003760-1 (NY)
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License 005413-1 (NY)
31 BURD ST, Nyack, NY 10960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Pediatric Therapies Pt Ot Slp PLLC's NPI number?

The NPI number for Innovative Pediatric Therapies Pt Ot Slp PLLC is 1023304995. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is Innovative Pediatric Therapies Pt Ot Slp PLLC located?

Innovative Pediatric Therapies Pt Ot Slp PLLC is located at 31 Burd St, Nyack, NY 10960. The listed phone number is (845) 353-3331.

What is Innovative Pediatric Therapies Pt Ot Slp PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Innovative Pediatric Therapies Pt Ot Slp PLLC was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.