Provider Demographics
NPI:1538406525
Name:STEP UP THERAPY SERVICES PT,OT,SLP,PSYCHOLOGIST,LMSW,PLLC
Entity type:Organization
Organization Name:STEP UP THERAPY SERVICES PT,OT,SLP,PSYCHOLOGIST,LMSW,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAAD
Authorized Official - Suffix:
Authorized Official - Credentials:PT,MS,DPT
Authorized Official - Phone:718-434-1200
Mailing Address - Street 1:1100 CONEY ISLAND AVE
Mailing Address - Street 2:SUITE 414
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2344
Mailing Address - Country:US
Mailing Address - Phone:718-434-1200
Mailing Address - Fax:718-434-1099
Practice Address - Street 1:1100 CONEY ISLAND AVE
Practice Address - Street 2:SUITE 414
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2344
Practice Address - Country:US
Practice Address - Phone:718-434-1200
Practice Address - Fax:718-434-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase Management