NPIMap

Organization Active NPI

Hand & Rehabilitation Specialists OT PT SLP PLLC

  • Hand Occupational Therapist
  • Williamsville, NY
National Provider Identifier
1891044418
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0120921 Issued in NY
Legal business name
HAND & REHABILITATION SPECIALISTS OT PT SLP PLLC
Practice address
5144 Sheridan Dr Ste 2
Williamsville, NY 14221-4653
Phone
(716) 631-5224
Fax
(716) 631-5626
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Mr. Troy D Gibson, MS OTR CHTNPI 1275864043
Title
Manager
Phone
(716) 631-5224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 79151 NY
Hand Occupational Therapist 225XH1200X 0120921 NY Primary
Speech-Language Pathologist 235Z00000X 013248 NY

Addresses

Primary practice location

5144 Sheridan Dr Ste 2
Williamsville, NY 14221-4653

Mailing address

5144 Sheridan Dr Ste 2
Williamsville, NY 14221-4653
Phone (716) 631-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130219000284 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0143475368 Receives reassigned benefits from 4 practitioners
Practice locations: Williamsville, NY; Orchard Park, NY; Amherst, NY
O20150227001988 NY DME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 0143475368 Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

4949 Harlem Rd
Ste 402
Amherst, NY 14226
Phone (716) 631-5224

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1891044418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 SHERIDAN DR STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214653",
            "telephone_number": "716-631-5224",
            "fax_number": "716-631-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 SHERIDAN DR STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214653",
            "telephone_number": "716-631-5224",
            "fax_number": "716-631-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND & REHABILITATION SPECIALISTS OT PT SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-631-5224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS OTR CHT"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NY",
            "license": "79151",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "0120921",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.