Organization Active NPI

TH Rehab Occupational Therapy Services, P.C.

  • Physical Rehabilitation Occupational Therapist
  • Bellport, NY
National Provider Identifier
1114501012
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Legal business name
TH REHAB OCCUPATIONAL THERAPY SERVICES, P.C.
Practice address
146 S Country Rd Ste 4
Bellport, NY 11713-2530
Phone
(631) 803-2254
Fax
(631) 803-2254
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Tracey HudsonNPI 1497948921
Title
Ceo
Phone
(631) 803-2254

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)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X Primary

Addresses

Primary practice location

146 S Country Rd Ste 4
Bellport, NY 11713-2530

Mailing address

146 S Country Rd Ste 4
Bellport, NY 11713-2530
Phone (631) 803-2254

Other names 2

  • TSR Rehab Occupational Therapy Services Doing business as
  • TSR Rehab Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1114501012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S COUNTRY RD STE 4",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132530",
            "telephone_number": "631-803-2254",
            "fax_number": "631-803-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S COUNTRY RD STE 4",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132530",
            "telephone_number": "631-803-2254",
            "fax_number": "631-803-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TH REHAB OCCUPATIONAL THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-803-2254"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSR Rehab Occupational Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TSR Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TSR Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.