Organization Active NPI

Rehabworx Physical Medicine and Rehabilitation, PLLC

  • Physical Medicine & Rehabilitation Physician
  • East Syracuse, NY
National Provider Identifier
1457346348
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REHABWORX PHYSICAL MEDICINE AND REHABILITATION, PLLC
Practice address
5000 Brittonfield Pkwy
Suite a-122
East Syracuse, NY 13057-9226
Phone
(311) 523-4967
Fax
(315) 423-9680
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Jeffrey Kahn, MD
Title
Owner
Phone
(315) 234-9679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy
Suite a-122
East Syracuse, NY 13057-9226

Mailing address

PO Box 2003
East Syracuse, NY 13057-4503
Phone (315) 449-2208

National Provider Directory

National Provider Directory

Locations

5000 Brittonfield Pkwy
Ste A122
East Syracuse, NY 13057
Phone (315) 234-9679

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1457346348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574503",
            "telephone_number": "315-449-2208",
            "fax_number": "315-362-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY",
            "address_2": "SUITE A-122",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "311-523-4967",
            "fax_number": "315-423-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABWORX PHYSICAL MEDICINE AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-234-9679",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.