NPIMap

Organization Active NPI

PRN Physical & Occupational Therapy Network

  • Physical Disabilities Residential Treatment Facility
  • Holbrook, NY
National Provider Identifier
1942687579
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
005442-1 Issued in NY
Legal business name
PRN PHYSICAL & OCCUPATIONAL THERAPY NETWORK
Practice address
20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone
(631) 467-3700
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Mrs. Susan Marie Peel, OTR/L
Title
Occupational Therapist
Phone
(585) 727-1459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 005442-1 NY Primary

Addresses

Primary practice location

20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616

Mailing address

200 Castlebar Rd
Rochester, NY 14610-2914
Phone (585) 256-3486

National Provider Directory

National Provider Directory
Tax ID family
PRN Physical and Occupational Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1942687579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CASTLEBAR RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102914",
            "telephone_number": "585-256-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN PHYSICAL & OCCUPATIONAL THERAPY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "585-727-1459",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "005442-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.