Provider Demographics
NPI:1336837921
Name:RC3 PT
Entity Type:Organization
Organization Name:RC3 PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CANECCHIO
Authorized Official - Suffix:III
Authorized Official - Credentials:DPT
Authorized Official - Phone:678-386-9129
Mailing Address - Street 1:5270 N HILLBROOKE TRCE
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4634
Mailing Address - Country:US
Mailing Address - Phone:678-386-9129
Mailing Address - Fax:
Practice Address - Street 1:11660 ALPHARETTA HWY STE 640
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-3891
Practice Address - Country:US
Practice Address - Phone:678-624-9117
Practice Address - Fax:678-624-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy