Provider Demographics
NPI:1972688653
Name:REHABILITATION TODAY PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC
Entity Type:Organization
Organization Name:REHABILITATION TODAY PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC
Other - Org Name:REHABILITATION TODAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HEATH
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:716-372-2808
Mailing Address - Street 1:2416 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760
Mailing Address - Country:US
Mailing Address - Phone:716-372-2808
Mailing Address - Fax:716-372-2902
Practice Address - Street 1:2416 CONSTITUTION AVE
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760
Practice Address - Country:US
Practice Address - Phone:716-372-2808
Practice Address - Fax:716-372-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001754247Medicaid
PA041912Medicare ID - Type Unspecified
NYAA0311Medicare ID - Type Unspecified
PA001754247Medicaid