Organization Active NPI

Professional Rehab Services

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
National Provider Identifier
1811987191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROFESSIONAL REHAB SERVICES
Practice address
1775 Buffalo Rd
Rochester, NY 14624-1601
Phone
(585) 429-6486
Fax
(585) 429-6489
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul A Gagliano
Title
Owner
Phone
(585) 429-6486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1775 Buffalo Rd
Rochester, NY 14624-1601

Mailing address

1775 Buffalo Rd
Rochester, NY 14624-1601
Phone (585) 429-6486

Other identifiers 1

IdentifierTypeStateIssuer
01789284MedicaidNY

Other names 1

  • Pro Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1775 Buffalo Rd
Rochester, NY 14624
Phone (585) 429-6486

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811987191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241601",
            "telephone_number": "585-429-6486",
            "fax_number": "585-429-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241601",
            "telephone_number": "585-429-6486",
            "fax_number": "585-429-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGLIANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-429-6486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01789284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.