Provider Demographics
NPI:1235466954
Name:ALWAYS ACTIVE ASSESSMENTS
Entity Type:Organization
Organization Name:ALWAYS ACTIVE ASSESSMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BEASOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-376-3728
Mailing Address - Street 1:7609 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367-2509
Mailing Address - Country:US
Mailing Address - Phone:315-376-3728
Mailing Address - Fax:
Practice Address - Street 1:7609 BAKER RD
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-2509
Practice Address - Country:US
Practice Address - Phone:315-376-3728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008822-1225100000X
NY4293225X00000X
NY008541-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty