Provider Demographics
NPI:1932671393
Name:REACH CARE PT REHABILITATION SERVICES PLLC
Entity Type:Organization
Organization Name:REACH CARE PT REHABILITATION SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DECARVALHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-548-8900
Mailing Address - Street 1:296 S CAYUGA RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6710
Mailing Address - Country:US
Mailing Address - Phone:716-548-8900
Mailing Address - Fax:
Practice Address - Street 1:296 S CAYUGA RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6710
Practice Address - Country:US
Practice Address - Phone:716-548-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty