Extend Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EXTEND REHAB LLC

Practice address

121 Codfish Hill Rd
Bethel, CT 06801-3203

Phone

(475) 279-0347

NPI assigned

Jul 21, 2018

Organization subpart

No

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

Authorized official

Name

Stephen Suriano, DPT

Title

Manager

Phone

(475) 279-0838

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kearns Julien, DPT

  • Physical Therapist
  • Bronx, NY
  • NPI 1245648849
  NPD (past)

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1144707274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CODFISH HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013203",
            "telephone_number": "475-279-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CODFISH HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013203",
            "telephone_number": "475-279-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTEND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-21",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "SURIANO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "475-279-0838",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ruzicka Edge, MS, RD
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• Danielle Nicole Erickson
• Keith Allen Erwin I, D.C.
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• Julie Margaret Fasolino, OTR/L
• Michael Z Fein, DPM
• Emmet Pierce Ferriter, M.D.
• Margaret O. Fesh, PT

• Occupational Therapist in Bethel, CT
• Providers in Bethel, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.