NPIMap

Organization Active NPI

Michele Rauer Physical Therapy Assistant, P.C.

Doing business as Complete Rehab and Sport

  • Physical Therapy Clinic/Center
  • East Patchogue, NY
National Provider Identifier
1952068173
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MICHELE RAUER PHYSICAL THERAPY ASSISTANT, P.C.
Doing business as
Complete Rehab and Sport
Practice address
672 S Country Rd
East Patchogue, NY 11772-5549
Phone
(631) 654-5282
Fax
(631) 654-5253
NPI assigned
Nov 22, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Mrs. Michele Leigh Rauer, PTANPI 1336801240
Title
Director
Phone
(631) 988-8233

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

672 S Country Rd
East Patchogue, NY 11772-5549

Mailing address

672 S Country Rd
East Patchogue, NY 11772-5549
Phone (631) 654-5282

Other names 1

  • Complete Rehab and Sport Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211210000153 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375933161 Receives reassigned benefits from 4 practitioners
Practice locations: East Patchogue, NY

National Provider Directory

National Provider Directory

Locations

672 S Country Rd
East Patchogue, NY 11772
Phone (631) 654-5282

Practitioners & affiliated clinicians

Practitioners 7

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": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1952068173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 S COUNTRY RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725549",
            "telephone_number": "631-654-5282",
            "fax_number": "631-654-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 S COUNTRY RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725549",
            "telephone_number": "631-654-5282",
            "fax_number": "631-654-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE RAUER PHYSICAL THERAPY ASSISTANT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "RAUER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-988-8233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Rehab and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.