JASON WYANT (NPI# 1912546078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912546078 |
Entity Type | Individual |
Full Name | JASON WYANT |
Practice Address |
1555 Long Pond Rd Rochester NY 14626-4122 |
Practice Telephone | 5857237683 |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-01-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
010762-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1555 LONG POND RD |
City | ROCHESTER |
State | NY |
Zip Code | 14626-4122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669474854 | Michelle Carpenter-bradley | Internal Medicine | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2005-06-01 |
1891394037 | Thomas Smith | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-20 |
1083211726 | Stergios Zissis | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-06 |
1194322123 | Yousif Rajab | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-02 |
1295342673 | Rachel Costain | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-29 |
1093321903 | Suman Biswas | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-17 |
1679187736 | Mary Carol Kretsch | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-04 |
1649883794 | Fahd Shaukat | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-28 |
1679185623 | Mohamed Eid | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-20 |
1619588076 | Megan M Stone | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
Find all providers in zip 14626 |
Taxonomy Code | 225XN1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Neurorehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811501299 | Alana Grabarkewitz | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-09-03 |
1295374353 | Kristen Patterson | Occupational Therapist | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-01-06 |
1992157978 | Allison Anne Bauer | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932532413 | Juliet Jean Lehman | Occupational Therapist | 210 Sound Rd, Wading River, NY 11792-1034 | 2013-08-19 |
1871836452 | Lisa Marie Foundas | Occupational Therapist | 34 Glen Ln, Kings Park, NY 11754-1304 | 2013-04-01 |
1104184639 | Cassandra A Kyere | Occupational Therapist | 1675 Grandcourse, #8b, Bronx, NY 10452 | 2012-05-03 |
1659638146 | Aura Weltman | Occupational Therapist | 182 Bennett Ave Apt 2f, New York, NY 10040-3846 | 2012-04-20 |
1730499484 | Anita C Meli | Occupational Therapist | 521 N Ohioville Rd, New Paltz, NY 12561-3231 | 2010-10-15 |
1841523198 | Irene Zombek | Occupational Therapist | 5000a Expressway Dr S, Holbrook, NY 11741-1827 | 2009-09-17 |
1417181561 | Esther Husarsky | Occupational Therapist | 3 Harriet Ln, Spring Valley, NY 10977-1302 | 2009-05-04 |
1811133549 | Michele Lorraine Satz | Occupational Therapist | 167 Eagle St, #2, Brooklyn, NY 11222-1401 | 2008-12-31 |
1841449519 | Susan J Olmstead | Occupational Therapist | 8230 138th St, Apartment 1m, Jamaica, NY 11435-1481 | 2008-09-17 |
1487813499 | Joan Josephine Toglia | Occupational Therapist | 40 Dorchester Ave, Hastings On Hudson, NY 10706-2002 | 2008-06-04 |
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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.