Provider Demographics
NPI:1861460230
Name:RECOVERY PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:RECOVERY PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDONE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-599-0099
Mailing Address - Street 1:194 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1144
Mailing Address - Country:US
Mailing Address - Phone:973-564-9559
Mailing Address - Fax:973-564-9717
Practice Address - Street 1:194 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1144
Practice Address - Country:US
Practice Address - Phone:973-564-9559
Practice Address - Fax:973-564-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty