Provider Demographics
NPI:1972378230
Name:REFLEX PHYSICAL THERAPY REHABILITATION PLLC
Entity Type:Organization
Organization Name:REFLEX PHYSICAL THERAPY REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ELGENDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-775-5923
Mailing Address - Street 1:320 W 30TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2710
Mailing Address - Country:US
Mailing Address - Phone:646-775-5923
Mailing Address - Fax:
Practice Address - Street 1:320 W 30TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2710
Practice Address - Country:US
Practice Address - Phone:646-775-5923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty