Sportsbrace Dba

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPORTSBRACE DBA

Practice address

806 Linden Ave Ste 400
Rochester, NY 14625-2719

Phone

(585) 424-6100

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leo Fusilli

Title

Ceo

Phone

(585) 424-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1679761126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 LINDEN AVE STE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 LINDEN AVE STE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252719",
            "telephone_number": "585-424-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSBRACE DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "FUSILLI",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-424-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Tyler Splain, PHARMD
• Eileen Ann Spong, CSW-R
• Carla Spooner, NURSE PRACTITIONER
• Melissa Spooner, LMFT
• Sports Physical Therapy of New York, PC
• Spoto Family Dental Practice LLP
• Christopher J Spoto, DDS
• Megan Jane Spoto, PA-C
• Michael Spoto, DMD
• Steven Michael Spoto, DDS

• Durable Medical Equipment & Medical Supplies in Rochester, NY
• Providers in Rochester, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.