Ped Physical Disabilities
Ped Physical Disabilities is a healthcare organization registered as Neurological Surgery Physician in Rochester, NY, holding Type 2 (organization) NPI 1508809872 since 2006. The authorized official on file is Jennifer Knebel, Billing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508809872 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ped Physical Disabilities |
| Practice address | 601 ELMWOOD AVE, BOX 635, Rochester, NY, 14642 |
| Phone | 5852757787 |
| Enumeration date | 2006-06-14 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Jennifer Knebel |
|---|---|
| Title | Billing Manager |
| Phone | 5852757787 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician | Secondary | — | — |
| 208800000X | Urology Physician | Secondary | — | — |
| 207X00000X | Orthopaedic Surgery Physician | Secondary | — | — |
| 207T00000X | Neurological Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00512758 | Medicaid | NY | — |
Copy-ready billing details
Provider: Ped Physical Disabilities NPI: 1508809872 Taxonomy: 207T00000X (Neurological Surgery Physician) Address: 601 ELMWOOD AVE, BOX 635, Rochester, NY, 14642
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942127063 | Abigail Christopher | Individual | Physician Assistant | Rochester, NY |
| 1154324317 | Marc Berliant | Individual | Internal Medicine Physician | Rochester, NY |
| 1497758528 | Denise Bilsback | Individual | Adult Health Nurse Practitioner | Rochester, NY |
| 1821091950 | Lura Deveau | Individual | Adult Health Nurse Practitioner | Rochester, NY |
| 1497758791 | Regina Smolyak | Individual | Ophthalmology Physician | Rochester, NY |
| 1902801566 | Michael Steinberg | Individual | Hematology & Oncology Physician | Rochester, NY |
| 1659377026 | Sergey Pisklakov | Individual | Anesthesiology Physician | Rochester, NY |
| 1336146182 | George Nasra | Individual | Psychiatry Physician | Rochester, NY |
Verify this record
Cross-check NPI 1508809872 against the authoritative CMS record: view Ped Physical Disabilities on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Ped Physical Disabilities located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.