Advanced Myorehab Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADVANCED MYOREHAB PHYSICAL THERAPY

Practice address

3842 Main St
Strykersville, NY 14145-9563

Phone

(716) 213-7201

NPI assigned

Oct 19, 2012

Last updated

Oct 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Felicia Helene Mullane, CTPT, MSPT

Title

Owner

Phone

(716) 213-7201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1679826200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842 MAIN ST",
            "city": "STRYKERSVILLE",
            "state": "NY",
            "postal_code": "141459563",
            "telephone_number": "716-213-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 MAIN ST",
            "city": "STRYKERSVILLE",
            "state": "NY",
            "postal_code": "141459563",
            "telephone_number": "716-213-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MYOREHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "MULLANE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "HELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-213-7201",
        "authorized_official_credential": "CTPT, MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hart's Transport Inc.
• Shannon Nicole Mest, DC
• Carol J Shaw, MA
• Julie Ann Wilkinson

• Physical Therapist in Strykersville, NY
• Providers in Strykersville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.