# INTERACTIVE THERAPY GROUP

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831503176
- **Authorized official:** KRISTI MOORE M.S. (SEIT)
- **Authorized official phone:** (718) 679-6931

## Contact information

- **Practice address:** 10500 SHORE FRONT PKWY APT 7K, ROCKAWAY PARK, NY 11694-2756
- **Practice address phone:** (718) 679-6931
- **Mailing address:** 10500 SHORE FRONT PKWY APT 7K, ROCKAWAY PARK, NY 11694-2756
- **Mailing address phone:** (718) 679-6931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 2596980 | NY | Yes |

## Other

- **Enumeration date:** 06/15/2014
- **Last updated:** 06/15/2014