Active NPI
Rehabilitation
- Physical Disabilities Residential Treatment Facility
- New York, NY
National Provider Identifier
1508929274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 003295-1
- Legal business name
- REHABILITATION
- Practice address
- 210 E 102ND St
#13H
New York, NY 10029-5937 - Phone
- (212) 876-0659
- Fax
- (212) 876-0659
- NPI assigned
- Dec 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marina Mattei I, O.T.A.
- Title
- Occupational Therapist Assistant
- Phone
- (917) 470-7040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 003295-1 | NY | Primary |
Addresses
Primary practice location
210 E 102ND St
#13H
New York, NY 10029-5937
Mailing address
210 E 102ND St
#13H
New York, NY 10029-5937
Phone (212) 876-0659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003295-1 | Other | NY | LICENSURE |
Other names 1
- mitchell martin
National Provider Directory
National Provider Directory- Tax ID family
- Harlem Hospital Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- New York, NY
- NPI 1699006478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508929274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 102ND ST",
"address_2": "#13H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295937",
"telephone_number": "212-876-0659",
"fax_number": "212-876-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 102ND ST",
"address_2": "#13H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100295937",
"telephone_number": "212-876-0659",
"fax_number": "212-876-0659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATTEI",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSISTANT",
"authorized_official_telephone_number": "917-470-7040",
"authorized_official_name_prefix": "Ms.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "O.T.A."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "NY",
"license": "003295-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "003295-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "mitchell martin",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
- Rehab Network PT PLLC
- Rehab Physical Therapy PC
- Rehab Strong Physical Therapy P.C.
- Rehab World Physical Therapy PLLC
- Rehabcare
- Rehabilitation and Physical Therapy Specialist PC
- Rehabilitation Medicine Practice of New York, PLLC
- Rehability Physical Therapy Ny PLLC
- Rehabmedics Physical Therapy, PLLC
- Rehabwise Physical Therapy, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.