MEDICARE: ASSOCIATES IN REHABILITATION TECHNOLOGY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265438477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN REHABILITATION TECHNOLOGY, INC

Provider Business Mailing Address
First Line	:	960 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-1610
Country	:	US
Telephone Number	:	518-786-8655
Fax Number	:	518-786-3594

Provider Business Practice Location Address
First Line	:	960 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-1610
Country	:	US
Telephone Number	:	518-786-8655
Fax Number	:	518-786-3594

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. TIMOTHY P LACY
Credential	:	C.P.
Telephone Number	:	518-786-8655

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/22/2020

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