Select PT, OT & SLP Rehabilitation Ny PLLC
Organization Active NPI Rehabilitation Clinic/Center · Hudson, NY
NPI 1457026353 · NPPES record last updated Dec 23, 2021
Key facts
- NPI
- 1457026353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- SELECT PT, OT & SLP REHABILITATION NY PLLC
- Practice address
- 125 Harry Howard Ave
Hudson, NY 12534-1601 - Phone
- (518) 828-7695
- NPI assigned
- Aug 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Anna Gardina
- Title
- Chief Executive Officer
- Phone
- (847) 441-5593
Owned or controlled facilities with NPI records 1
Practitioners 280
-
David Morris, DPT
-
Jennifer Marie Peabody, MSPT
-
Karin Lee Rice, P.T.
-
Aja Sisco, M.S., CCC-SLP
-
Randy L Wright, MPT
-
Latoya Denim Addison, FNP
-
Asif Afridi, MD
-
Ghulam A. Akbari, M.D.
-
Shilpa Akula, MD
-
Richard Alfred, MD
-
John A Alley, MD
-
Ioana G. Amzuta, M.D.
-
Vinny Anand, M.D.
-
Lori L Anderson, MD
-
Desta Rowena Anthony, ANP
-
Laura L Arenz, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Saratoga Hospital |
Skilled nursing facility | Adp of the SNF | Nov 27, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220201000412 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3870986656 |
Receives reassigned benefits from 11 practitioners Practice locations: Hudson, NY; Jamesville, NY; Rochester, NY |
| O20220719003704 | NY | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3870986656 | Practice locations: Jamesville, NY |
National Provider Directory
Locations
7430 Buckley Rd
North Syracuse, NY 13212
Phone (315) 413-3688
100 Broadview Ave
Purchase, NY 10577
Phone (914) 996-9100
2001 S Clinton Ave
Rochester, NY 14618
Phone (585) 461-1880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
125 Harry Howard Ave
Hudson, NY 12534-1601
Mailing address
2600 Compass Rd
Glenview, IL 60026-8001
Phone (678) 491-6692
Other providers in Hudson, NY
- Brenda Scibelli
- Joseph Scorca
- Kerri A Scorpio
- Ashley Seeberger
- Brenda Jeanne Seider
- Eric Semel
- Dante Henry Shackleford
- Gail Shafer
- Rachna Jagdish Shah
- Shay Markovitch Dentistry, PLLC
All providers in Hudson, NY · Rehabilitation Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.