New York Neuro Rehabilitation Group PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NEW YORK NEURO REHABILITATION GROUP PLLC

Practice address

508 W 26TH St
10 Floor
New York, NY 10001-5504

Phone

(646) 230-9292

Fax

(646) 230-9133

NPI assigned

Nov 27, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terry Mann

Title

Executive Director

Phone

(646) 230-9292

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Justin L Ettinger

  • Physical Therapist
  • New York, NY
  • NPI 1356675144
  NPD (past)
• Alice Wong

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1801991211
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366624793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W 26TH ST",
            "address_2": "10 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015504",
            "telephone_number": "646-230-9292",
            "fax_number": "646-230-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W 26TH ST",
            "address_2": "10 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015504",
            "telephone_number": "646-230-9292",
            "fax_number": "646-230-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEURO REHABILITATION GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "646-230-9292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Mid Town Acupuncture Services PC
• New York Midtown Dental, PC
• New York Mind Mental Health Counseling, PLLC
• New York Minimally Invasive Surgery, PLLC
• New York Minimally Invasive Surgery, PLLC
• New York Neurobehavioral Services LLC
• New York Neurology & Sleep Medicine, P.C.
• New York Neurology & Sleep Medicine, P.C.
• New York Neurology Associates, P.C.
• New York Neuromodulation Medical PLLC

• Physical Medicine & Rehabilitation Physician in New York, NY
• Providers in New York, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.