Provider Demographics
NPI:1356049522
Name:NEXT STEP REHAB SOLUTIONS LLC
Entity type:Organization
Organization Name:NEXT STEP REHAB SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:GAYGEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:716-266-5252
Mailing Address - Street 1:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:GASPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14067-0287
Mailing Address - Country:US
Mailing Address - Phone:716-266-5252
Mailing Address - Fax:
Practice Address - Street 1:8410 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:GASPORT
Practice Address - State:NY
Practice Address - Zip Code:14067-9478
Practice Address - Country:US
Practice Address - Phone:716-266-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy