Provider Demographics
NPI:1255606638
Name:RINALDI, NICOLE RACHEL (PT DPT)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:RACHEL
Last Name:RINALDI
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5543
Mailing Address - Country:US
Mailing Address - Phone:917-806-7125
Mailing Address - Fax:
Practice Address - Street 1:1035 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5543
Practice Address - Country:US
Practice Address - Phone:917-806-7125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist