NPIMap

Organization Active NPI

Rochester Rehabilitation Center, Inc

  • Community/Behavioral Health Agency
  • Rochester, NY
National Provider Identifier
1306901913
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROCHESTER REHABILITATION CENTER, INC
Practice address
1000 Elmwood Ave
Rochester, NY 14620-3042
Phone
(585) 271-2520
Fax
(585) 295-8029
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Cynthia Kelly, LCSWNPI 1881871259
Title
Interim Ceo
Phone
(585) 271-2520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary
Voluntary or Charitable Agency 251V00000X 2701223R NY

Addresses

Primary practice location

1000 Elmwood Ave
Rochester, NY 14620-3042

Mailing address

1000 Elmwood Ave
Rochester, NY 14620-3042
Phone (585) 271-2520

Other identifiers 14

IdentifierTypeStateIssuer
014625950OtherNYBEHAVIORAL HEALTH BC
103335ELOtherNYCORF PC
014635950OtherNYOCCUPATIONAL THERAPY BC
014635950OtherNYSPEECH THERAPY BC
103335FTOtherNYPHYSICAL THERAPY PC
103335FUOtherNYSPEECH THERAPY PC
014555950OtherNYPHYSICAL THERAPY BC
014005950OtherNYOTHER SERVICES BC
0217066MedicaidNY
103335EUOtherNYBEHAVIORAL HEALTH PC
00355317MedicaidNY
014665950OtherNYPARTIAL HOSP BC
103335FROtherNYOCCUPTATIONAL THERAPY PC
5535497OtherNYCORF AETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510001436 NY Part B Supplier - Clinic/Group Practice 4880683218 Receives reassigned benefits from 17 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

1000 Elmwood Ave
Ste 600
Rochester, NY 14620
Phone (585) 471-0559

Practitioners & affiliated clinicians

Practitioners 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1306901913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-2520",
            "fax_number": "585-295-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-2520",
            "fax_number": "585-295-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "585-271-2520",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "2701223R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH BC",
            "identifier": "014625950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORF PC",
            "identifier": "103335EL",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY BC",
            "identifier": "014635950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY BC",
            "identifier": "014635950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY PC",
            "identifier": "103335FT",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY PC",
            "identifier": "103335FU",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BC",
            "identifier": "014555950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER SERVICES BC",
            "identifier": "014005950",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217066",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH PC",
            "identifier": "103335EU",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355317",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTIAL HOSP BC",
            "identifier": "014665950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPTATIONAL THERAPY PC",
            "identifier": "103335FR",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORF AETNA",
            "identifier": "5535497",
            "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 Nov 19, 2014; 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.