Agewell Rehab Services PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

AGEWELL REHAB SERVICES PLLC

Practice address

1111 Stratford Ave Apt 319
Stratford, CT 06615-6379

Phone

(786) 266-4504

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Claudia Garcia, MSOT/LNPI 1336689231

Title

Member

Phone

(786) 266-4504

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia Garcia

  • Occupational Therapist
  • Stratford, CT
  • NPI 1336689231
  Medicare reassignment Care Compare group NPD Authorized official
• Julie Clark, PHYSICAL THERAPIST

  • Physical Therapist
  • Stratford, CT
  • NPI 1679599229
  Medicare reassignment Care Compare group NPD
• Kevin Howard, DPT

  • Physical Therapist
  • Orange, CT
  • NPI 1134735145
  Medicare reassignment Care Compare group
• Angelina Pallam

  • Physical Therapist
  • Norwalk, CT
  • NPI 1447905526
  Medicare reassignment NPD
• Hwan Sung Kang

  • Physical Therapist
  • Westfield, IN
  • NPI 1033572722

  CT

  Medicare reassignment NPD
• Perseus Corre Fernandez

  • Physical Therapist
  • Naugatuck, CT
  • NPI 1558119719
  NPD
• Mary Ann Adornato

  • Physical Therapist
  • Pittsfield, MA
  • NPI 1245719269
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1033989116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 STRATFORD AVE APT 319",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156379",
            "telephone_number": "786-266-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STRATFORD AVE APT 319",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156379",
            "telephone_number": "786-266-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL REHAB SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "786-266-4504",
        "authorized_official_credential": "MSOT/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ace
• Kwame Acheampong, NP
• Adedoyin Adebogun, PHARMD
• Advanced Dental Sleep Medicine of Connecticut, PC
• Advanced Psychotherapy Practice LLC
• Maribel Agosto, LCSW
• Tanzania P Agramonte
• Idaira Aguilar Tejedor, M.D.
• Maria Aguirre
• Daune Alexis-Bailey

• Occupational Therapist in Stratford, CT
• Providers in Stratford, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.