Provider Demographics
NPI:1083016661
Name:REBOUND PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:REBOUND PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PLISKOW
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-751-7536
Mailing Address - Street 1:11 EAST PL
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3605
Mailing Address - Country:US
Mailing Address - Phone:914-238-5603
Mailing Address - Fax:
Practice Address - Street 1:185 KISCO AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1409
Practice Address - Country:US
Practice Address - Phone:914-241-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-25
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty