Provider Demographics
NPI:1982630513
Name:REHABILITATION & WELLNESS OT, PT PLLC
Entity Type:Organization
Organization Name:REHABILITATION & WELLNESS OT, PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALBANESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-457-5555
Mailing Address - Street 1:16 MAYBROOK RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CAMPBELL HALL
Mailing Address - State:NY
Mailing Address - Zip Code:10916-2743
Mailing Address - Country:US
Mailing Address - Phone:845-636-4344
Mailing Address - Fax:845-636-4355
Practice Address - Street 1:20 WALNUT ST
Practice Address - Street 2:SUITE D
Practice Address - City:MONTGOMERY
Practice Address - State:NY
Practice Address - Zip Code:12549-2230
Practice Address - Country:US
Practice Address - Phone:845-457-5555
Practice Address - Fax:845-457-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ8WPZ1Medicare PIN
5810120002Medicare NSC