Select PT, OT & SLP Rehabilitation Ny PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SELECT PT, OT & SLP REHABILITATION NY PLLC

Practice address

1301 Nottingham Rd
Jamesville, NY 13078-8705

Phone

(315) 445-9242

Fax

(847) 386-5196

NPI assigned

Aug 12, 2021

Last updated

Oct 17, 2026By 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

Anna Gardina

Title

Chief Executive Officer

Phone

(847) 441-5593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Wesley Health Care Center, Inc.

  • Skilled Nursing Facility
  • Saratoga Springs, NY
  • NPI 1710977459

  Adp of the SNF

  CMS ownership

Practitioners 280

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.

• Angiela Marie Granja Aurelio

  • Physical Therapist
  • Jamesville, NY
  • NPI 1558950295
  Medicare reassignment NPD
• Wendy S Kawczenski, PT

  • Physical Therapist
  • Hector, NY
  • NPI 1235105925
  Medicare reassignment NPD
• Emily Grace Massey

  • Occupational Therapist
  • Jamesville, NY
  • NPI 1164989810
  Medicare reassignment NPD
• David Morris, DPT

  • Physical Therapist
  • Rochester, NY
  • NPI 1649796624
  Medicare reassignment NPD
• Jennifer Marie Peabody, MSPT

  • Physical Therapist
  • Elmira, NY
  • NPI 1679765176
  Medicare reassignment NPD
• Karin Lee Rice, P.T.

  • Physical Therapist
  • Saugerties, NY
  • NPI 1093970212
  Medicare reassignment NPD
• Aja Sisco, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Stuyvesant Falls, NY
  • NPI 1679714760
  Medicare reassignment NPD
• Tammy Van Gorder

  • Occupational Therapist
  • Fairport, NY
  • NPI 1609539436
  Medicare reassignment NPD
• Nicole Ann Veltri-Petrosino, DPT

  • Physical Therapist
  • East Syracuse, NY
  • NPI 1265001275
  Medicare reassignment NPD
• Tammy Conklin

  • Speech-Language Pathologist
  • McComb, MS
  • NPI 1366622425

  NY

  Medicare reassignment NPD
• Randy L Wright, MPT

  • Physical Therapist
  • McAllen, TX
  • NPI 1003136169

  NY

  Medicare reassignment NPD
• Renee Elizabeth Abderhalden-Friend, M.D.

  • Internal Medicine Physician
  • Horseheads, NY
  • NPI 1730282906
  Care Compare group

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1457026353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "678-491-6692",
            "fax_number": "847-386-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 NOTTINGHAM RD",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130788705",
            "telephone_number": "315-445-9242",
            "fax_number": "847-386-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PT, OT & SLP REHABILITATION NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "GARDINA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-441-5593"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreyas Kumar Roy, MD
• Adam Henry Ruszkowski, PT, DPT, OCS, CSCS
• Melody Scanlon, R.N.
• Kayla Schoen
• Chartele Scott, LPN
• Vahida Begum Shaik
• Shamlian Nutrition PLLC
• Catherine Shamlian, RDN
• Latoya Rejean Sigler, LPN
• Amanda Marie Skeval, LPN

• Rehabilitation Clinic/Center in Jamesville, NY
• Providers in Jamesville, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.