Provider Demographics
NPI:1649570508
Name:RC REHAB, LLC
Entity Type:Organization
Organization Name:RC REHAB, LLC
Other - Org Name:APPLE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CIANCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:253-286-2413
Mailing Address - Street 1:PO BOX 2170
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-0480
Mailing Address - Country:US
Mailing Address - Phone:253-286-2413
Mailing Address - Fax:253-840-6340
Practice Address - Street 1:2904 4TH AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-7053
Practice Address - Country:US
Practice Address - Phone:253-286-2413
Practice Address - Fax:253-840-6340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty