Organization Active NPI

Rebound Sports and Orthopedic Physical Therapy, P.C.

  • Physical Therapist
  • Marcellus, NY
National Provider Identifier
1952467177
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011106-1 Issued in NY
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

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
April B. Tucker, P.T.NPI 1205878337
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20050304000344 NY Part B Supplier - Clinic/Group Practice 1658325493 Receives reassigned benefits from 5 practitioners
Practice locations: Marcellus, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.