Ethan Jacob Babcock
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Rome, NY
NPI 1467178558 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1467178558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- Practice address
- 600 W Embargo St
Rome, NY 13440-3153 - Phone
- (315) 360-8084
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Yes |
Addresses
Primary practice location
600 W Embargo St
Rome, NY 13440-3153
Mailing address
600 W Embargo St
Rome, NY 13440-3153
Phone (315) 360-8084
Other providers in Rome, NY
- Bridget M Arquette
- Associated Medical Professionals of Ny, PLLC
- Associated Medical Professionals of Ny, PLLC
- Dawn M. Ayers
- Ayush Pharmacy Corp
- Michelle Baker
- Albino Ballini
- Michaela Rochelle Baratta
- Barbara a Connor MD & Chester L Patrick Jr MD PC
- Luke Austin Barnes
All providers in Rome, NY · Physical Rehabilitation Occupational Therapist 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 Oct 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.