Organization Active NPI

Physiatry & Rehabilitation Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Ithaca, NY
National Provider Identifier
1932157955
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSIATRY & REHABILITATION MEDICINE, PC
Practice address
201 Dates Drive
Suite 201
Ithaca, NY 14850
Phone
(607) 277-4097
Fax
(607) 277-4142
NPI assigned
May 4, 2006
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Dr. Andrew J Morpurgo, MDNPI 1326021023
Title
Physician/Owner
Phone
(607) 277-4097

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

201 Dates Drive
Suite 201
Ithaca, NY 14850

Mailing address

202 Taughannock Blvd.
PO Box 366
Ithaca, NY 14851
Phone (607) 277-3257

Other identifiers 1

IdentifierTypeStateIssuer
02181428MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000524 NY Part B Supplier - Clinic/Group Practice 9638140270 Receives reassigned benefits from 2 practitioners
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Locations

201 Dates Dr
Ste 201
Ithaca, NY 14850
Phone (607) 274-4011

Practitioners & affiliated clinicians

Practitioners 3

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1932157955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TAUGHANNOCK BLVD.",
            "address_2": "PO BOX 366",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14851",
            "telephone_number": "607-277-3257",
            "fax_number": "607-277-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DATES DRIVE",
            "address_2": "SUITE 201",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-277-4097",
            "fax_number": "607-277-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIATRY & REHABILITATION MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "MORPURGO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "607-277-4097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02181428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.