Provider Demographics
NPI:1649886201
Name:RESOLVE PHYSICAL THERAPY, P. C.
Entity type:Organization
Organization Name:RESOLVE PHYSICAL THERAPY, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DE NOYELLES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:845-769-7777
Mailing Address - Street 1:1128 STATE ROUTE 17K STE 3
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:NY
Mailing Address - Zip Code:12549-2270
Mailing Address - Country:US
Mailing Address - Phone:845-769-7777
Mailing Address - Fax:845-769-0007
Practice Address - Street 1:1128 STATE ROUTE 17K STE 3
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:NY
Practice Address - Zip Code:12549-2270
Practice Address - Country:US
Practice Address - Phone:845-769-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty