Healthcare Provider Details

I. General information

NPI: 1063953701
Provider Name (Legal Business Name): AFFINITY REHABILITATION, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N COLUMBUS AVE
MOUNT VERNON NY
10552-1335
US

IV. Provider business mailing address

536 OLD HOWELL RD
GREENVILLE SC
29615-1969
US

V. Phone/Fax

Practice location:
  • Phone: 914-266-3796
  • Fax:
Mailing address:
  • Phone: 864-244-3626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MARSHA A ZATCOFF
Title or Position: DIRECTOR, DIRECT BILL SERVICES
Credential:
Phone: 864-244-3626