Rehabilitation Medicine & Acupuncture Center MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

038206 Issued in CT

Legal business name

REHABILITATION MEDICINE & ACUPUNCTURE CENTER MD LLC

Practice address

1171 E Putnam Ave
BLDG 1 2ND Floor
Riverside, CT 06878-1426

Phone

(203) 637-7720

Fax

(203) 637-2693

NPI assigned

Aug 3, 2005

Last updated

Aug 27, 2007By 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

Jun Xu, MDNPI 1386671642

Title

President

Phone

(203) 637-7720

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 4

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.

• Jun Xu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Riverside, CT
  • NPI 1386671642
  Medicare reassignment Care Compare group NPD Authorized official
• Adora Cruz, P.T.

  • Physical Therapist
  • Rye Brook, NY
  • NPI 1285782854

  CT

  Medicare reassignment Care Compare group NPD
• Carmen Bauer-Rowe

  • Physical Therapist
  • Southbury, CT
  • NPI 1841898046
  Medicare reassignment NPD
• PO Priscilla Xu, MD

  • Physical Medicine & Rehabilitation Physician
  • Stamford, CT
  • NPI 1396764924
  Medicare reassignment NPD

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1689675472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE",
            "address_2": "BLDG 1 2ND FLOOR",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "203-637-7720",
            "fax_number": "203-637-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE",
            "address_2": "BLDG 1 2ND FLOOR",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "203-637-7720",
            "fax_number": "203-637-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE & ACUPUNCTURE CENTER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-637-7720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000638",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "038206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Arthur Pardi, DDS
• Pensarc LLC
• Valeria Del Carmen Prado, LPC
• Prabhakar Reddy, MD
• Rehab It Physical Therapy PC
• Helen Reich
• Remiges LLC
• Riverside Internal Medicine
• Riverside Obstetrics & Gynecology (Riverside OBGYN)
• Kalan Elizabeth Ross, LMFT

• Physical Medicine & Rehabilitation Physician in Riverside, CT
• Providers in Riverside, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.