# LEAP OT, PT & SLP PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LEAP for Kids OT, PT & SLP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467698258
- **Authorized official:** MRS. KIM SUSAN MAURO MS CCC SLP (OWNER/DIRECTOR)
- **Authorized official phone:** (585) 797-9366

## Contact information

- **Practice address:** 700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
- **Practice address phone:** (585) 797-9366
- **Practice address fax:** (585) 486-1230
- **Mailing address:** 700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
- **Mailing address phone:** (585) 797-9366
- **Mailing address fax:** (585) 486-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 009318-1 | NY | Yes |

## Other

- **Enumeration date:** 12/28/2008
- **Last updated:** 03/07/2014