MEDICARE: REHABILITATION TECHNOLOGIES OF SYRACUSE,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	332B00000X	Durable Medical Equipment & Medical Supplies

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	:	1518949775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION TECHNOLOGIES OF SYRACUSE,INC

Provider Business Mailing Address
First Line	:	512 W HICKORY ST STE 112
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-9074
Country	:	US
Telephone Number	:	888-464-9015
Fax Number	:	949-209-4424

Provider Business Practice Location Address
First Line	:	1101 ERIE BLVD E
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13210-1148
Country	:	US
Telephone Number	:	888-464-9015
Fax Number	:	949-209-4424

Authorized Official
Title or Position	:	OWNER
Name	:	TEMOER TERRY
Credential	:
Telephone Number	:	888-464-9015

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	10/30/2025

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