NPIMap

Organization Active NPI

University of Rochester Physical Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
National Provider Identifier
1649434648
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
UNIVERSITY OF ROCHESTER PHYSICAL MEDICINE AND REHABILITATION
Practice address
601 Elmwood Ave
Box 664
Rochester, NY 14642-0001
Phone
(585) 275-3272
Fax
(585) 442-2949
NPI assigned
Jul 18, 2008
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Jill M Hetterich
Title
Senior Director, Finance Urmfg
Phone
(585) 756-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

601 Elmwood Ave
Box 664
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave Box 664
Rochester, NY 14642-0001
Phone (585) 276-8394

Other identifiers 2

IdentifierTypeStateIssuer
D09005OtherNYMEDICARE RR
03119459MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090317000235 NY Part B Supplier - Clinic/Group Practice 3375605082 Receives reassigned benefits from 43 practitioners
Practice locations: Pittsford, NY; Rochester, NY; Canandaigua, NY; Brockport, NY

National Provider Directory

National Provider Directory

Locations

2400 S Clinton Ave
Ste H150
Rochester, NY 14618

4901 Lac de Ville Blvd
Ste 250
Rochester, NY 14618
Phone (585) 275-3271

5901 Lac de Ville Blvd
#250
Rochester, NY 14618
Phone (585) 275-3271

601 Elmwood Ave
#664
Rochester, NY 14642
Phone (585) 275-3271

Practitioners & affiliated clinicians

Practitioners 90

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.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1649434648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 664",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-276-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 664",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-3272",
            "fax_number": "585-442-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ROCHESTER PHYSICAL MEDICINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, FINANCE URMFG",
        "authorized_official_telephone_number": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "D09005",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03119459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.