AMPED REHAB, LLC (NPI# 1346602141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346602141 |
| Entity Type | Organization |
| Organization Name | AMPED REHAB, LLC |
| Practice Address |
300 Birnie Ave Suite 303 Springfield MA 01107-1107 |
| Practice Telephone | 4137372404 |
| Practice Fax Number | 4137331389 |
| Mailing Telephone | 4137372404 |
| Mailing Fax Number | 4137331389 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | JAMES HAAS (MANAGER) |
| Authorized Official Telephone | 4137372404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
300 BIRNIE AVE SUITE 303 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337036 | Arif Matin | Pharmacist | 300 Birnie Ave, Ste 101, Springfield, MA 01107-1121 | 2005-06-25 |
| 1760092290 | Kristina Wendl | Physical Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2020-08-10 |
| 1427584945 | John Dayton | Occupational Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2017-05-03 |
| 1770023525 | Stephanie Ross | Occupational Therapist | 300 Birnie Ave, Springfield, MA 01107-1107 | 2017-02-27 |
| 1134574833 | Stephanie Anne Brusseau | Physical Therapist | 300 Birnie Ave, Suite 303, Springfield, MA 01107-1107 | 2016-04-30 |
| 1174983449 | Geoffrey Zielenski | Physical Therapist | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2016-03-01 |
| 1427422682 | Elizabeth Sklar | Physician Assistant | 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 | 2015-11-25 |
| 1598165540 | Brian K. Puchalski | Physician Assistant | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2014-08-27 |
| 1811301906 | Haley B. Pierson | Physician Assistant | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2014-06-17 |
| 1740692961 | David Labrecque | Occupational Therapist | 300 Birnie Ave, Suite 304, Springfield, MA 01107-1107 | 2014-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221335 | Convergence Physical Therapy and Performance | Clinic/Center | 303 S 5th St Ste 140, Springfield, OR 97477-5480 | 2020-10-01 |
| 1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
| 1871129338 | Five Star Rehabilitation and Wellness Services LLC | Clinic/Center | 900 E Southwind Rd, Springfield, IL 62703-5369 | 2020-03-17 |
| 1992262554 | Agilitas Usa, Inc | Clinic/Center | 3556 Tom Austin Hwy Ste 2, Springfield, TN 37172-3960 | 2019-03-01 |
| 1336656461 | Back and Body Pain Relief LLC | Clinic/Center | 355 Route 22 Ste D, Springfield, NJ 07081-3511 | 2018-01-10 |
| 1699142828 | Alissa Slater | Clinic/Center | 7912 Journey Ln, Springfield, VA 22153-2725 | 2015-08-24 |
| 1801189121 | Physiotherapy Associates Inc | Clinic/Center | 1739 Allen St, Springfield, MA 01118-1805 | 2011-05-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.