Active NPI
Rebound Sports and Orthopedic Physical Therapy, P.C.
- Physical Therapist
- Marcellus, NY
National Provider Identifier
1952467177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011106-1
- Legal business name
- REBOUND SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, P.C.
- Practice address
- 37 South St
Marcellus, NY 13108-1359 - Phone
- (315) 673-1007
- Fax
- (315) 673-2008
- NPI assigned
- Dec 29, 2006
- 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
- April B. Tucker, P.T.
- Title
- President
- Phone
- (315) 673-1007
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011106-1 | NY | Primary |
Addresses
Primary practice location
37 South St
Marcellus, NY 13108-1359
Mailing address
37 South St
Marcellus, NY 13108-1359
Phone (315) 673-1007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050304000344 | NY | Part B Supplier - Clinic/Group Practice | 1658325493 |
Receives reassigned benefits from 5 practitioners Practice locations: Marcellus, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Florence, SC
- NPI 1386768182
-
- Physical Therapist
- Liverpool, NY
- NPI 1477897635
-
- Physical Therapist
- Marcellus, NY
- NPI 1568492338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701993600000",
"number": "1952467177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SOUTH ST",
"city": "MARCELLUS",
"state": "NY",
"postal_code": "131081359",
"telephone_number": "315-673-1007",
"fax_number": "315-673-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 SOUTH ST",
"city": "MARCELLUS",
"state": "NY",
"postal_code": "131081359",
"telephone_number": "315-673-1007",
"fax_number": "315-673-2008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBOUND SPORTS AND ORTHOPEDIC PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-673-1007",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "011106-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marcellus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.