NPIMap

Organization Active NPI

Modern Rehabilitation Technologies, LLC

  • Prosthetic/Orthotic Supplier
  • Holbrook, NY
National Provider Identifier
1699192476
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MODERN REHABILITATION TECHNOLOGIES, LLC
Practice address
1180 Lincoln Ave
Suite 4
Holbrook, NY 11741-2285
Phone
(631) 360-6400
Fax
(631) 360-6449
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
William Mark Schwing, LPO CPO
Title
Owner
Phone
(631) 360-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1180 Lincoln Ave
Suite 4
Holbrook, NY 11741-2285

Mailing address

1180 Lincoln Ave
Suite 4
Holbrook, NY 11741-2285
Phone (631) 360-6400

National Provider Directory

National Provider Directory
Tax ID family
Modern Rehabilitation Technologies LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1699192476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 LINCOLN AVE",
            "address_2": "SUITE 4",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412285",
            "telephone_number": "631-360-6400",
            "fax_number": "631-360-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 LINCOLN AVE",
            "address_2": "SUITE 4",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412285",
            "telephone_number": "631-360-6400",
            "fax_number": "631-360-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN REHABILITATION TECHNOLOGIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHWING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-360-6400",
        "authorized_official_credential": "LPO CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.