Total Care & Rehabilitation Medicine PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

239223 Issued in NY

Legal business name

TOTAL CARE & REHABILITATION MEDICINE PC

Practice address

5 Main St Ste 6
Queensbury, NY 12804-4067

Phone

(518) 798-2225

Fax

(518) 798-2807

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ehab Kodsi, M.D. P.H.D.

Title

Owner

Phone

(518) 798-2225

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1730321605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MAIN ST STE 6",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044067",
            "telephone_number": "518-798-2225",
            "fax_number": "518-798-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MAIN ST STE 6",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044067",
            "telephone_number": "518-798-2225",
            "fax_number": "518-798-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE & REHABILITATION MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "KODSI",
        "authorized_official_first_name": "EHAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-798-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.     P.H.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "0101611",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "239223",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0253741",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028558-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.