EXTEND REHAB LLC (NPI# 1144707274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144707274 |
| Entity Type | Organization |
| Organization Name | EXTEND REHAB LLC |
| Practice Address |
121 Codfish Hill Rd Bethel CT 06801-3203 |
| Practice Telephone | 4752790347 |
| Mailing Telephone | 4752790347 |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | STEPHEN SURIANO (MANAGER) |
| Authorized Official Telephone | 4752790838 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225X00000X | Occupational Therapist | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547163 | Extend Rehab LLC | Occupational Therapist | 520 W 218th St Apt 3b, New York, NY 10034-1025 | 2018-08-13 |
| Street Address |
121 CODFISH HILL RD |
| City | BETHEL |
| State | CT |
| Zip Code | 06801-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
| 1912547241 | Crystel Noujaim | Physical Therapist | 121 Codfish Hill Rd, Bethel, CT 06801-3203 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669805 | Turning Point Medical | Durable Medical Equipment & Medical Supplies | 211 Greenwood Ave 2-2, Num 147, Bethel, CT 06801 | 2017-06-15 |
| 1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
| 1104114545 | Lisa Anne Pottasch | Clinical Nurse Specialist | 4berkshire Boulevard, Ability Beyond Disability, Bethel, CT 06801 | 2011-07-19 |
| 1194018671 | Hilary Norman | Physical Therapist | 13 Parklawn Drive, Bethel, CT 06801 | 2011-05-17 |
| 1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
| 1437315751 | Bethel Vol Fire Dept | Ambulance | 36-40 South St, Bethel, CT 06801 | 2008-08-06 |
| 1023212032 | Village Square Internal Medicine PC | Internal Medicine | 2 Elizabeth Street, Bethel, CT 06801 | 2007-06-13 |
| 1376688655 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 81 Stony Hill Road, Bethel, CT 06801 | 2007-02-21 |
| 1659482719 | Dr Russell D Caram & Associates PC | Chiropractor | 182 Grassy Plain St, Bethel, CT 06801 | 2006-08-31 |
| 1336640333 | Mobeen Zohra | Physician Assistant | 6 Stony Hill Rd, Bethel, CT 06801 | 2018-02-24 |
| Find all providers in zip 06801 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093104267 | Katherine Corcoran Walter | Occupational Therapist | 837 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-01-12 |
| 1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
| 1073111027 | Jessica Chance | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2020-10-13 |
| 1255940763 | Olivia Armater | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2020-07-30 |
| 1255806832 | Catherine Cardillo | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2018-10-10 |
| 1437636339 | Sharon Donnelly | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2018-07-24 |
| 1639536824 | Hudson Valley Rehab | Occupational Therapist | 168 Pucky Huddle Rd, Bethel, NY 12720-5207 | 2016-01-20 |
| 1740657147 | Ellen May | Occupational Therapist | 837 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2015-09-01 |
| 1841689098 | Diane Barras | Occupational Therapist | 8 Crescent St, Bethel, ME 04217-4027 | 2015-01-12 |
| 1679901052 | Beth Batchler | Occupational Therapist | 13 Park Lawn Dr, Bethel, CT 06801-1043 | 2013-10-23 |
| Find all providers in BETHEL | ||||
Please comment or provide details below to improve the information on EXTEND REHAB LLC.
| 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.