Provider Demographics
NPI:1457690984
Name:RPM PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:RPM PHYSICAL THERAPY PLLC
Other - Org Name:MIDTOWN INTEGRATIVE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ASTLEY
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:RIDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:212-688-2016
Mailing Address - Street 1:300 EAST 56TH STREET
Mailing Address - Street 2:DR'S OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-688-2016
Mailing Address - Fax:212-753-9856
Practice Address - Street 1:300 EAST 56TH STREET
Practice Address - Street 2:DR'S OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-688-2016
Practice Address - Fax:212-753-9856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0298971174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty