MR. BRYAN D HATHAWAY (NPI# 1669535563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669535563 |
| Entity Type | Individual |
| Full Name | MR. BRYAN D HATHAWAY |
| Credential | PT |
| Practice Address |
115 Hickories Park Road Onego NY 13827 |
| Mailing Address |
115 Hickories Park Road Owego NY 13827 |
| Practice Telephone | 6076877645 |
| Practice Fax Number | 6076877646 |
| Mailing Telephone | 6076877645 |
| Mailing Fax Number | 6076877646 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 0116511 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CDPHP | 10054748 | 01 |
| NY | AETNA | 7357124 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477850469 | Bryan Lee Hathaway | Counselor | 1201 Ne 7th St Ste C, Grants Pass, OR 97526 | 2011-02-28 |
| Street Address |
115 HICKORIES PARK ROAD |
| City | ONEGO |
| State | NY |
| Zip Code | 13827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390451 | Michele Smith Morey | Licensed Practical Nurse | 4476 Rt38, Owego, NY 13827 | 2018-09-21 |
| 1811487259 | Kaitlin Osborne | Specialist/Technologist | 1 Sheldon Guile Blvd, Owego, NY 13827 | 2018-05-11 |
| 1306388244 | Susan Medina | Dental Hygienist | 1062 State Rt 38, Suite 120, Owego, NY 13827 | 2016-11-09 |
| 1063775476 | Kimberly Anne Derouchie | Early Intervention Provider Agency | 1062 Rt. 38, Owego, NY 13827 | 2012-06-20 |
| 1992020713 | Christy Bianconi | Social Worker | 819 S. Salina St., Syracuse, NY 13827 | 2010-04-05 |
| 1578793543 | Donna Marie Delvecchio | Pharmacist | 39 Park Avenue, Owego, NY 13827 | 2009-07-23 |
| 1689827875 | Jennifer Iglthaler | Occupational Therapist | 1695 Glen Allen Road, Owego, NY 13827 | 2008-10-31 |
| 1104079698 | Mary N. Gilfoyle | Speech-Language Pathologist | 1 Christa Mcauliffe Drive, Owego, NY 13827 | 2008-10-28 |
| 1710026042 | Delos Christian Aumock | Dentist | 230 Front St, Owego, NY 13827 | 2007-02-05 |
| 1043357957 | Anthony Owens | Counselor | 8 Lincolnshire Blvd, Owego, NY 13827 | 2007-01-31 |
| Find all providers in zip 13827 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.