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JEFFERSON REHABILITATION CENTER
NPI 1295941912
Clinic/Center - Developmental Disabilities in Watertown, NY

Active since May 16, 2007
420 GAFFNEY DR, WATERTOWN, NY 13601(315) 788-2730(315) 788-8557 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jefferson Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON REHABILITATION CENTER (NPI 1295941912) is a healthcare organization registered as a developmental disabilities in Watertown, New York and active in the NPI registry since May 2007. The organization lists Daniel E. Stern, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295941912
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameJEFFERSON REHABILITATION CENTER
Location Address420 GAFFNEY DRWatertown, NY 13601-1823
Mailing AddressPo Box 41Watertown, NY 13601-0041 · (315) 788-2730 · Fax (315) 788-8557
Phone(315) 788-2730
Fax(315) 788-8557
Organization SubpartNo
Authorized OfficialDaniel E. SternExecutive Director · (315) 788-2730
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295941912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License✔ Licensed in NY · 7642300
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
420 GAFFNEY DR, Watertown, NY 13601
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Other Identifiers 1

Medicaid00618960NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON REHABILITATION CENTER
Early Intervention Provider Agency
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
JEFFERSON REHABILITATION CENTER
Early Intervention Provider Agency
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
MADISON ELIZABETH DEROUIN MS, OTR/L
Occupational Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
ERIN MARIE ROSS MS CFY
Speech-Language Pathologist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 836-1227
JENNIFER BRINK MS PT
Physical Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
DAVID PETER SHEPARD M.A., CCC-SLP
Speech-Language Pathologist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730
MR. JOHN ALEXANDER TINSLEY EDD
Specialist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 836-1249
MRS. JENNIFER H RUTLEDGE OTR/L
Occupational Therapist
420 GAFFNEY DR
WATERTOWN, NY 13601
Jefferson County (315) 788-2730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Rehabilitation Center's NPI number?

The NPI number for Jefferson Rehabilitation Center is 1295941912. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Jefferson Rehabilitation Center located?

Jefferson Rehabilitation Center is located at 420 Gaffney Dr, Watertown, NY 13601. The listed phone number is (315) 788-2730.

What is Jefferson Rehabilitation Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Jefferson Rehabilitation Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.