Provider Demographics
NPI:1669010880
Name:JR PHYSICAL THERAPY PEEKSKILL PLLC
Entity Type:Organization
Organization Name:JR PHYSICAL THERAPY PEEKSKILL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RENDINA
Authorized Official - Suffix:
Authorized Official - Credentials:PT OCS DPT
Authorized Official - Phone:914-488-5763
Mailing Address - Street 1:939 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2008
Mailing Address - Country:US
Mailing Address - Phone:914-488-5763
Mailing Address - Fax:914-455-0217
Practice Address - Street 1:939 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2008
Practice Address - Country:US
Practice Address - Phone:914-488-5763
Practice Address - Fax:914-455-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy