Organization Active NPI

Orthomotion Rehab DME

  • Durable Medical Equipment & Medical Supplies
  • Brentwood, NY
National Provider Identifier
1265038277
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOMOTION REHAB DME
Practice address
652 Suffolk Ave Ste 110
Brentwood, NY 11717-4305
Phone
(718) 441-2200
Fax
(866) 716-1044
NPI assigned
Dec 7, 2020
Organization subpart
Yes
Parent organization
DMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Authorized official

Name
Sean Martin
Title
Owner
Phone
(917) 659-2938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

652 Suffolk Ave Ste 110
Brentwood, NY 11717-4305

Mailing address

652 Suffolk Ave Ste 110
Brentwood, NY 11717-4305
Phone (718) 441-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210825001667 NY DME Supplier - Medical Supply Company 4880099183 Practice locations: Brentwood, NY

National Provider Directory

National Provider Directory
Part of
Orthomotion Rehab DME

Locations

652 Suffolk Ave
Ste 110
Brentwood, NY 11717
Phone (646) 210-3485

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": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742688000000",
    "number": "1265038277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 SUFFOLK AVE STE 110",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174305",
            "telephone_number": "718-441-2200",
            "fax_number": "866-716-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 SUFFOLK AVE STE 110",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174305",
            "telephone_number": "718-441-2200",
            "fax_number": "866-716-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMOTION REHAB DME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DME",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-659-2938"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; 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.

Verify at the official NPI Registry.