Active NPI
Rehab at Home Physical Therapy, PLLC
- Physical Therapist
- Horseheads, NY
National Provider Identifier
1104879949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017298
- Legal business name
- REHAB AT HOME PHYSICAL THERAPY, PLLC
- Practice address
- 5 Hayes Dr
Horseheads, NY 14845-1189 - Phone
- (607) 738-2837
- Fax
- (607) 846-3744
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandi May Hollar, PT
- Title
- Owner/Member
- Phone
- (607) 738-2837
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017298 | NY | Primary |
Addresses
Primary practice location
5 Hayes Dr
Horseheads, NY 14845-1189
Mailing address
5 Hayes Dr
Horseheads, NY 14845-1189
Phone (607) 738-2837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050802000914 | NY | Part B Supplier - Clinic/Group Practice | 6305874181 |
Receives reassigned benefits from 1 practitioner Practice locations: Corning, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Horseheads, NY
- NPI 1114993888
-
- Physical Therapist
- Horseheads, NY
- NPI 1952480741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1104879949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HAYES DR",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148451189",
"telephone_number": "607-738-2837",
"fax_number": "607-846-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HAYES DR",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148451189",
"telephone_number": "607-738-2837",
"fax_number": "607-846-3744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB AT HOME PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "HOLLAR",
"authorized_official_first_name": "SANDI",
"authorized_official_middle_name": "MAY",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "607-738-2837",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "017298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.