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

Pediatric Therapeutics-Pt, OT, Slp&csw, PLLC

Organization Early Intervention Provider Agency · NPI 1265697882

Pediatric Therapeutics-Pt, OT, Slp&csw, PLLC is an Early Intervention Provider Agency in Buffalo, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

90 Pearl St
Buffalo, NY 14202-4106
Phone: (716) 362-0020
Fax: (716) 362-0022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 4752568 (NY)

Record details

NPI number1265697882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marybeth Dejohn — Executive Director · (716) 362-0020
NPI enumeratedJuly 23, 2008
Last updated in NPPESJuly 23, 2008
Mailing address90 Pearl St, Buffalo, NY 14202-4106

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