NPIMap

Organization Active NPI

Freedom Therapy, Occupational Therapy, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
National Provider Identifier
1144358672
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
009537 Issued in NY
Legal business name
FREEDOM THERAPY, OCCUPATIONAL THERAPY, P.C.
Practice address
384 East Ave Ste B
Rochester, NY 14607-1909
Phone
(585) 720-9608
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Samuel L Burge II, PT
Title
President
Phone
(585) 720-9608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 009537 NY Primary

Addresses

Primary practice location

384 East Ave Ste B
Rochester, NY 14607-1909

Mailing address

384 East Ave Ste B
Rochester, NY 14607-1909
Phone (585) 720-9608

Other identifiers 1

IdentifierTypeStateIssuer
G0188595590OtherNYBLUE CHOICE

National Provider Directory

National Provider Directory

Locations

384 East Ave
#B
Rochester, NY 14607
Phone (585) 720-9608

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1144358672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 EAST AVE STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071909",
            "telephone_number": "585-720-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 EAST AVE STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071909",
            "telephone_number": "585-720-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM THERAPY, OCCUPATIONAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-720-9608",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "009537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0188595590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.