NPIMap

Organization Active NPI

Rehabilitation Specialists Physical Therapy, Occupational Therapy, Spe

  • Physical Therapist
  • Jamestown, NY
National Provider Identifier
1679588487
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABILITATION SPECIALISTS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPE
Practice address
774 Fairmount Ave
Jamestown, NY 14701
Phone
(716) 665-1166
Fax
(866) 902-1160
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Authorized official

Name
Gordon Joseph Cwynar
Title
Partner / Manager
Phone
(716) 665-1166

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

774 Fairmount Ave
Jamestown, NY 14701

Mailing address

774 Fairmount Ave
Jamestown, NY 14701-2609
Phone (716) 665-1166

Other identifiers 2

IdentifierTypeStateIssuer
03787322MedicaidNY
AA0830OtherNYPTAN

Other names 2

  • Rehabilitation Specialists Doing business as
  • ECH-LANGUAGE PATHOLOGY AND REGISTERED NURSING, PLLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040816000579 NY Part B Supplier - Clinic/Group Practice 2163495466 Receives reassigned benefits from 8 practitioners
Practice locations: Jamestown, NY

National Provider Directory

National Provider Directory

Locations

92 Main St
#2
Randolph, NY 14772
Phone (716) 358-2077

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1679588487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012609",
            "telephone_number": "716-665-1166",
            "fax_number": "866-902-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "14701",
            "telephone_number": "716-665-1166",
            "fax_number": "866-902-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "CWYNAR",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER / MANAGER",
        "authorized_official_telephone_number": "716-665-1166"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03787322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AA0830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECH-LANGUAGE PATHOLOGY AND REGISTERED NURSING, PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ECH-LANGUAGE PATHOLOGY AND REGISTERED NURSING, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.