Active NPI
Trevor Daniel Hyland, MD
- Physical Medicine & Rehabilitation Physician
- Fairport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 336452
- Practice address
- 4646 Nine Mile Point Rd
Fairport, NY 14450-1163 - Phone
- (872) 231-3162
- Fax
- (702) 977-1496
- NPI assigned
- Jun 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 336452 | NY | Primary |
Addresses
Primary practice location
4646 Nine Mile Point Rd
Fairport, NY 14450-1163
Mailing address
PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595
Other practice location 1
1335 Portland Ave
Rochester, NY 14621-2706
Phone (872) 231-3162
Other practice location 2
3 Upton Park
Rochester, NY 14607-1751
Phone (872) 231-3162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08178154 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336452 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Health Rehabilitation LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
4646 Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350
7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190
32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600
3 Upton Park
Rochester, NY 14607
Phone (585) 241-2100
989 Blossom Rd
Rochester, NY 14610
Phone (585) 482-3500
1335 Portland Ave
Rochester, NY 14621
Phone (585) 544-4000
700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570
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.
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1851969604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870001",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 NINE MILE POINT RD",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501163",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496"
}
],
"practiceLocations": [
{
"address_1": "1335 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146212706",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Upton Park",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146071751",
"country_code": "US",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYLAND",
"first_name": "TREVOR",
"middle_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "336452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08178154",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.