Individual provider Active NPI

Rebecca Kay Sherwood, DPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1689408494
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052942 Issued in NY
Practice address
95 Canal Landing Blvd
Rochester, NY 14626-5111
Phone
(585) 617-0581
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 052942 NY Primary

Addresses

Primary practice location

95 Canal Landing Blvd
Rochester, NY 14626-5111

Mailing address

150 Penbrooke Dr
Penfield, NY 14526-2014
Phone (315) 247-9831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009001040 NY Practitioner - Physical Medicine and Rehabilitation 2365973799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy Services, PCGroup PAC ID 1153302823, 23 clinicians

Practice addresses (Care Compare)

92 W Ave
Brockport, NY 14420-1306
Phone (716) 637-0790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052942NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Physical Therapy Services, PC Physical Therapist CurrentSince Aug 4, 2024 Accepting new patients

Locations

92 West Ave
Brockport, NY 14420
Phone (585) 637-0790

2154 Fairport Nine Mile Point Rd
Ste 3
Fairport, NY 14450
Phone (585) 364-1567

3240 Chili Ave
Rochester, NY 14624
Phone (585) 889-7777

880 Elmgrove Rd
Ste 2
Rochester, NY 14624
Phone (585) 247-8535

95 Canal Landing Blvd
Ste 2
Rochester, NY 14626
Phone (585) 617-0581

1075 Ridge Rd
Webster, NY 14580
Phone (585) 671-1370

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1689408494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PENBROOKE DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262014",
            "telephone_number": "315-247-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CANAL LANDING BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265111",
            "telephone_number": "585-617-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "REBECCA",
        "middle_name": "KAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.