Provider Demographics
NPI:1336257732
Name:RICHMOND PHYSICAL THERAPY REHABILITATION PC
Entity Type:Organization
Organization Name:RICHMOND PHYSICAL THERAPY REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:ORSINI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-351-0030
Mailing Address - Street 1:70 NEW DORP PLZ S
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2920
Mailing Address - Country:US
Mailing Address - Phone:718-351-0030
Mailing Address - Fax:718-351-2269
Practice Address - Street 1:70 NEW DORP PLZ S
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2920
Practice Address - Country:US
Practice Address - Phone:718-351-0030
Practice Address - Fax:718-351-2269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ0W5A1Medicare PIN