Provider Demographics
NPI:1710234497
Name:RECTOR, MATTHEW CHRISTISON (PT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:CHRISTISON
Last Name:RECTOR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 E 46TH ST
Mailing Address - Street 2:8 FLOOR SUITE 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2418
Mailing Address - Country:US
Mailing Address - Phone:212-557-9642
Mailing Address - Fax:212-499-0753
Practice Address - Street 1:12 E 46TH ST
Practice Address - Street 2:8 FLOOR SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2418
Practice Address - Country:US
Practice Address - Phone:212-557-9642
Practice Address - Fax:212-499-0753
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035311-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist