Diversified Services for Occupational Therapy Physical Ther

A Medicare group practice based in Williamsville, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0143204917), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143204917The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
1
Group size
26 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 6 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050805000553 NY Part B Supplier - Clinic/Group Practice 1447283882

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (26).

Sources for this page