JEFFERSON REHABILITATION CENTER (NPI# 1043519986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043519986 |
| Entity Type | Organization |
| Organization Name | JEFFERSON REHABILITATION CENTER |
| Practice Address |
420 Gaffney Dr Watertown NY 13601-1823 |
| Practice Telephone | 3157882730 |
| Practice Fax Number | 3157888557 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | HOWARD GANTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3157882730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 016569-1 | NY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881801892 | Jefferson Rehabilitation Center | Intermediate Care Facility, Mentally Retarded | 443 Gaffney Dr, Watertown, NY 13601-1834 | 2007-05-17 |
| 1699982603 | Jefferson Rehabilitation Center | Intermediate Care Facility, Mentally Retarded | 453 Gaffney Dr, Watertown, NY 13601-1834 | 2007-05-17 |
| 1821205584 | Jefferson Rehabilitation Center | Intermediate Care Facility, Mentally Retarded | 301 E Grove St, Dexter, NY 13634-3147 | 2007-05-16 |
| 1225579311 | Jefferson Rehabilitation Center | Point of Service | 615 West Main Street, Watertown, NY 13601 | 2017-03-09 |
| 1003060039 | Jefferson Rehabilitation Center | Early Intervention Provider Agency | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2008-11-04 |
| 1295941912 | Jefferson Rehabilitation Center | Clinic/Center | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2007-05-16 |
| Street Address |
420 GAFFNEY DR |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083764864 | Jennifer Brink | Physical Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2007-01-12 |
| 1528608668 | Emily Howell | Occupational Therapy Assistant | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2020-01-07 |
| 1831751221 | Ashley Margaret Dobmeier | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-07-05 |
| 1154987337 | Michelle Anne Wilder | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-05-14 |
| 1205332723 | Julia Wise Groleau | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-04-03 |
| 1396243465 | Mary Ford-waterman | Behavior Technician | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-24 |
| 1275040750 | Jennifer Rose Barse | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-05 |
| 1073032652 | Erin Marie Ross | Speech-Language Pathologist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2017-09-14 |
| 1184174385 | Merrica Baldwin | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-10-12 |
| 1568919561 | Jennifer Wagstaff | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174044150 | Northeast Physical Therapy Group, Inc. | Early Intervention Provider Agency | 3395 12th Ave Nw, Watertown, SD 57201-7225 | 2017-06-29 |
| 1184167173 | Benchmark Family Services, Inc. | Early Intervention Provider Agency | 1635 Ohio St, Watertown, NY 13601-3032 | 2016-11-23 |
| 1184060774 | Early Pathways, Inc. | Early Intervention Provider Agency | 53-59 Public Square, Suite 202, Watertown, NY 13601 | 2013-05-22 |
| 1366783052 | Early Pathways, Inc. | Early Intervention Provider Agency | 53-59 Public Square, Suite 202, Watertown, NY 13601-2674 | 2013-03-06 |
| 1649535014 | Janet L Steele | Early Intervention Provider Agency | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2012-07-11 |
| 1992060495 | Jeffrehabilitation Center | Early Intervention Provider Agency | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2012-07-10 |
| 1235412891 | Sherri A Allen-woods | Early Intervention Provider Agency | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2011-09-21 |
| 1003060039 | Jefferson Rehabilitation Center | Early Intervention Provider Agency | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2008-11-04 |
| 1356594527 | Caitlin Murray Lee | Early Intervention Provider Agency | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2008-10-31 |
| 1760635205 | Building Blocks Slp, Ot & Pt Family Services, Pllc | Early Intervention Provider Agency | 21638 Reed Rd, Watertown, NY 13601-5048 | 2008-10-28 |
| Find all providers in WATERTOWN | ||||
Please comment or provide details below to improve the information on JEFFERSON REHABILITATION CENTER.
| 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.