Amplify Rehabilitation PT OT SLP PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AMPLIFY REHABILITATION PT OT SLP PLLC

Practice address

133 Canal St
Dexter, NY 13634

Phone

(315) 918-5011

Fax

(315) 918-5027

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By 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

Sarah Ainsworth, OT

Title

Owner/Partner

Phone

(315) 918-5011

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1104220615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "DEXTER",
            "state": "NY",
            "postal_code": "136340186",
            "telephone_number": "315-918-5011",
            "fax_number": "315-918-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CANAL ST",
            "city": "DEXTER",
            "state": "NY",
            "postal_code": "13634",
            "telephone_number": "315-918-5011",
            "fax_number": "315-918-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFY REHABILITATION PT OT SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "315-918-5011",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Anson
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• Kristy Hogan Littell, SLP-CCC

• Physical Therapist in Dexter, NY
• Providers in Dexter, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.