Professional Rehab Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROFESSIONAL REHAB SERVICES LLC

Practice address

783 Spencerport Rd
Rochester, NY 14606-4819

Phone

(585) 429-6486

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Chris Mariano

Title

Owner

Phone

(585) 429-6486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1093181570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 SPENCERPORT RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064819",
            "telephone_number": "585-429-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 SPENCERPORT RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064819",
            "telephone_number": "585-429-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-429-6486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Probst, PA
• Amanda Procaccini, PA-C
• Joseph Alfred Procell
• Professional Assistance for Seniors
• Professional Rehab Services
• Alissa Jean Profetta, NP
• Nicole Proffitt, RN
• Progressive Endodontics LLC
• Laurie A Proia, M.D.
• Christina Marie Prokop, RPA-C

• Durable Medical Equipment & Medical Supplies in Rochester, NY
• Providers in Rochester, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.