Active NPI
Rehab Resources
- Early Intervention Provider Agency
- Oswego, NY
National Provider Identifier
1902051519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 012769
- Legal business name
- REHAB RESOURCES
- Practice address
- 159 W 1St St
Oswego, NY 13126-2045 - Phone
- (315) 342-9575
- NPI assigned
- Nov 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Teneyck
- Title
- Occupational Therapist
- Phone
- (315) 345-4395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 012769 | NY | Primary |
Addresses
Primary practice location
159 W 1St St
Oswego, NY 13126-2045
Mailing address
864 Bailey Rd
Fabius, NY 13063-9781
Phone (315) 345-4395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012769 | Other | NY | OCCUPATIONAL THERAPY LISCENSE |
National Provider Directory
National Provider DirectoryLocations
159 W 1st St
Oswego, NY 13126
Phone (315) 342-9575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1902051519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "864 BAILEY RD",
"city": "FABIUS",
"state": "NY",
"postal_code": "130639781",
"telephone_number": "315-345-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262045",
"telephone_number": "315-342-9575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "TENEYCK",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "315-345-4395"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "012769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LISCENSE",
"identifier": "012769",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.