DIVERSIFIED SERVICES FOR OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEEC (NPI# 1417576547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417576547 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED SERVICES FOR OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEEC |
| Practice Address |
2900 Delaware Ave Kenmore NY 14217-2309 |
| Practice Telephone | 7168719915 |
| Practice Fax Number | 7168719887 |
| Mailing Telephone | 7168719915 |
| Mailing Fax Number | 7168719887 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | CAROL E KNAUER (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Telephone | 7168719883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 College Pkwy Ste 100, Williamsville, NY 142216800 | 7163621552 | 7163621553 |
| 17 Limestone Dr Ste 5, Williamsville, NY 142218601 | 7163621552 | 7163621553 |
| 2330 Maple Rd, Williamsville, NY 142214000 | 7162621552 | 7163621553 |
| Street Address |
2900 DELAWARE AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144282385 | Tina Marie Degeorge | Physical Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2006-04-04 |
| 1235740879 | Yee Ting Siu | Audiologist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-08-16 |
| 1245853951 | Taylor M Wagner | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-28 |
| 1114540135 | Eric M Mandel | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-05-26 |
| 1275166316 | Christina Marie Kurtz | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-18 |
| 1518590868 | Michelle Murphy | Case Manager/Care Coordinator | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-14 |
| 1679105472 | Katherine Elizabeth Calogero | Physical Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-10 |
| 1639701824 | Phoebe Gillis Buscaglia | Occupational Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-06 |
| 1083246276 | Amanda Ziomek | Occupational Therapist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2020-02-06 |
| 1457918708 | Alicia Sahr | Speech-Language Pathologist | 2900 Delaware Ave, Kenmore, NY 14217-2309 | 2019-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923213 | Sara Ann Persutti | Physical Medicine & Rehabilitation | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2020-02-04 |
| 1912399924 | Medical Rehabilitation Care of Western New York, Pllc | Physical Medicine & Rehabilitation | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972719 | Port Washington Medical Rehabilitation | Physical Medicine & Rehabilitation | 41 Corchaug Ave, Port Washington, NY 11050-2019 | 2020-11-05 |
| 1982202313 | Harvey Levitan | Physical Medicine & Rehabilitation | 301 E 79th St Apt 28n, New York, NY 10075-0947 | 2020-10-16 |
| 1205442266 | Bay Ridge Community Physical Therapy | Physical Medicine & Rehabilitation | 6806 5th Ave, Brooklyn, NY 11220-6010 | 2020-09-16 |
| 1669086369 | Alexandra Ortiz | Physical Medicine & Rehabilitation | 263 Commerce St, Hawthorne, NY 10532-2040 | 2020-09-01 |
| 1679181572 | Peter Singer | Physical Medicine & Rehabilitation | 175 Helene St, Islip Terrace, NY 11752-1128 | 2020-07-16 |
| 1184242588 | Dina Dicicco Murray | Physical Medicine & Rehabilitation | 119 New Hampshire Ave, Massapequa, NY 11758-3917 | 2020-07-12 |
| 1831715978 | Kevin Melrick Medenilla Serrano | Physical Medicine & Rehabilitation | New Paltz Center for Rehabilitation and Nursing, 1 Jansen Road, New Paltz, NY 12561 | 2020-06-24 |
| 1457976946 | Karem Jeffrey Casino | Physical Medicine & Rehabilitation | 4313 Judge St Apt 3r, Elmhurst, NY 11373-3477 | 2020-06-10 |
| 1720608151 | Progressive Medical Fitness PC | Physical Medicine & Rehabilitation | 389 Fort Salonga Rd Ste 2, Northport, NY 11768-3089 | 2020-04-27 |
| 1255951075 | Connect Physical Therapy Nyc | Physical Medicine & Rehabilitation | 2761 Decatur Ave Apt 5a, Bronx, NY 10458-3753 | 2020-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.