Provider Demographics
NPI:1568767218
Name:RECOVERY IN MOTION PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:RECOVERY IN MOTION PHYSICAL THERAPY, PLLC
Other - Org Name:RECOVERY IN MOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ARON
Authorized Official - Middle Name:RUKO
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:347-526-3046
Mailing Address - Street 1:212 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4608
Mailing Address - Country:US
Mailing Address - Phone:347-526-3046
Mailing Address - Fax:718-868-8611
Practice Address - Street 1:212 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4608
Practice Address - Country:US
Practice Address - Phone:347-526-3046
Practice Address - Fax:718-868-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026271261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy