Advanced Rehabilitation, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01008700 Issued in NJ

Legal business name

ADVANCED REHABILITATION, P.C.

Practice address

2305 Hylon Blvd.
Staten Island, NY 10306

Phone

(718) 667-0297

Fax

(718) 667-1945

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Julia Sapoff, PTNPI 1013934926

Title

Owner

Phone

(917) 520-4337

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Sapoff, PT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1013934926

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Natallia Hutman, DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1043521396

  NJ

  Medicare reassignment Care Compare group NPD
• Tanya Hankins, OTR

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1205981560

  NJ

  Medicare reassignment Care Compare group
• Hector Rivera Victoriano, OTR/L

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1396971503
  Medicare reassignment NPD

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1275727158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HYLAN BLVD.",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-667-0297",
            "fax_number": "718-667-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HYLON BLVD.",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-667-0297",
            "fax_number": "718-667-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "SAPOFF",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-520-4337",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015531",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01008700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "058402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Af Physical Therapy, PC

• Physical Therapy Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.