Provider Demographics
NPI:1457568750
Name:METRO SPORTS PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:METRO SPORTS PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:REDINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:212-682-8727
Mailing Address - Street 1:55 W 39TH ST FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-3803
Mailing Address - Country:US
Mailing Address - Phone:212-682-8727
Mailing Address - Fax:212-682-8753
Practice Address - Street 1:55 W 39TH ST FL 12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3803
Practice Address - Country:US
Practice Address - Phone:212-682-8727
Practice Address - Fax:212-682-8753
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METRO SPORTS PHYSICAL THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-17
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy