NPIMap

Organization Active NPI

Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • De Witt, NY
National Provider Identifier
1346530169
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AFFINITY REHABILITATION LLP
Practice address
18 Arbor Lane
Dewitt, NY 13214
Phone
(410) 667-7200
NPI assigned
Apr 13, 2011
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Thomas Guild
Title
Chief Operating Officer
Phone
(410) 667-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

18 Arbor Lane
Dewitt, NY 13214

Mailing address

10600 York Rd
Suite 105
Cockeysville, MD 21030-2351
Phone (410) 667-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000314 NY Part B Supplier - Clinic/Group Practice 4789843376 Receives reassigned benefits from 207 practitioners
Practice locations: Yonkers, NY; White Plains, NY; West Harrison, NY; West Babylon, NY; Tarrytown, NY; Sayville, NY; Rochester, NY; Port Jefferson Station, NY…

National Provider Directory

National Provider Directory
Tax ID family
Affinity Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10600 York Rd
Ste 105
Cockeysville, MD 21030
Phone (410) 666-1178

2981 Town Center Rd
Baldwinsville, NY 13027
Phone (315) 638-9207

5961 Palisade Ave
Bronx, NY 10471
Phone (646) 809-1015

96 Menands Rd
Menands, NY 12204
Phone (518) 290-1962

2989 Main St
Peru, NY 12972
Phone (518) 316-5210

1 Wheatley Ter
Pittsford, NY 14534
Phone (585) 248-1200

749 Maiden Ln
Rochester, NY 14615
Phone (585) 299-3039

470 New Dorp Ln
Staten Island, NY 10306
Phone (508) 746-9733

681 High St
Victor, NY 14564
Phone (585) 299-1141

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Affinity RehabilitationIthaca, NY, CCN 335793 Skilled nursing facility Adp of the SNF Dec 7, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 235

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.

View all 235

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1346530169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 YORK RD",
            "address_2": "SUITE 105",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302351",
            "telephone_number": "410-667-7200",
            "fax_number": "410-667-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ARBOR LANE",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "13214",
            "telephone_number": "410-667-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY REHABILITATION LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "GUILD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "410-667-7200"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in De Witt, NY

Sources for this page

Verify at the official NPI Registry.