Organization Active NPI

Rehabilitation Practitioners Inc

  • Prosthetic/Orthotic Supplier
  • Martinsburg, WV
National Provider Identifier
1093718538
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
REHABILITATION PRACTITIONERS INC
Practice address
1008 Tavern Rd
Ste 302
Martinsburg, WV 25401-2801
Phone
(304) 267-8050
Fax
(304) 267-8051
NPI assigned
May 30, 2005
Last updated
Jun 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
REHABILITATION PRACTITIONERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Mr. Michael E Cestaro, C.P.O.NPI 1780125823
Title
President
Phone
(540) 722-9025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

1008 Tavern Rd
Ste 302
Martinsburg, WV 25401-2801

Mailing address

333 W Cork St
Unit 30
Winchester, VA 22601-3816
Phone (540) 722-9025

Other identifiers 1

IdentifierTypeStateIssuer
0147101000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089010 WV DME Supplier - Certified Orth/Pros/Pedorthist 5193842896 Practice locations: Martinsburg, WV

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Rehabilitation Practitioners Inc1008 Tavern Rd, Martinsburg, WV 25401-2801(304) 267-8050 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Rehab Practitioners Inc3 organizations share this tax ID, including this one
Part of
Rehab Practitioners Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1008 Tavern Rd
Ste 302
Martinsburg, WV 25401
Phone (304) 267-8050

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1093718538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W CORK ST",
            "address_2": "UNIT 30",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013816",
            "telephone_number": "540-722-9025",
            "fax_number": "540-667-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 TAVERN RD",
            "address_2": "STE 302",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012801",
            "telephone_number": "304-267-8050",
            "fax_number": "304-267-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION PRACTITIONERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHABILITATION PRACTITIONERS INC",
        "enumeration_date": "2005-05-30",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "CESTARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-722-9025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147101000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.