TSR Rehab Services Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

TSR REHAB SERVICES INC.

Practice address

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

Phone

(631) 803-0738

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Tracey Hudson, OTR/LNPI 1497948921

Title

Owner/Occupational Therapist

Phone

(631) 803-0738

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Tracey Hudson

  • Occupational Therapist
  • Bay Shore, NY
  • NPI 1497948921
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1295366524",
    "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": "631-803-0738"
        },
        {
            "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": "631-803-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSR REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "631-803-0738",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TH Rehab Occupational Therapy Services, P.C.
• Dana Thomson, PSY, D.
• Ida Belinda Timmons, LMSW
• Bryce Tolmie
• Amanda True, RN
• Alyssa Vastano
• Hannah Patrice Vega, RN
• Kimberly Kay Vertichio, D.D.S.
• Anne M. Virgilio, L.C.S.W.
• Alexandra L Vitale, LCSW

• Occupational Therapist in Bellport, NY
• Providers in Bellport, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.