Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Pediatric Therapies PT OT SLP PLLC

Organization Hearing and Speech Clinic/Center · NPI 1023304995

Innovative Pediatric Therapies PT OT SLP PLLC is a Hearing and Speech Clinic/Center in Nyack, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

31 Burd St
Nyack, NY 10960-3205
Phone: (845) 353-3331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 009027-1 (NY)
Hearing and Speech Clinic/Center Taxonomy 261QH0700X · Licence 003760-1 (NY)
Rehabilitation Clinic/Center Taxonomy 261QR0400X · Licence 005413-1 (NY)

Record details

NPI number1023304995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lise Petricone — President · (845) 353-3331
NPI enumeratedJune 20, 2011
Last updated in NPPESSeptember 23, 2011
Mailing address31 Burd Street, Nyack, NY 10960