Provider Demographics
NPI:1023787009
Name:METRO SPORTS PHYSICAL THERAPY 48TH STREET, PC
Entity type:Organization
Organization Name:METRO SPORTS PHYSICAL THERAPY 48TH STREET, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:REDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-887-1525
Mailing Address - Street 1:30 WATERSIDE PLZ APT 15J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2623
Mailing Address - Country:US
Mailing Address - Phone:917-887-1525
Mailing Address - Fax:212-682-8753
Practice Address - Street 1:226 E 54TH ST STE 304
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4854
Practice Address - Country:US
Practice Address - Phone:212-759-2882
Practice Address - Fax:212-759-2996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty