Provider Demographics
NPI: | 1700919966 |
---|---|
Name: | RECOVERY PHYSICAL THERAPY |
Entity Type: | Organization |
Organization Name: | RECOVERY PHYSICAL THERAPY |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CARDONE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PT |
Authorized Official - Phone: | 212-599-0099 |
Mailing Address - Street 1: | 52 VANDERBILT AVE |
Mailing Address - Street 2: | SUITE 1413 |
Mailing Address - City: | NEW YORK |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10017-3808 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 212-599-0099 |
Mailing Address - Fax: | 212-599-0389 |
Practice Address - Street 1: | 52 VANDERBILT AVE |
Practice Address - Street 2: | SUITE 1413 |
Practice Address - City: | NEW YORK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10017-3808 |
Practice Address - Country: | US |
Practice Address - Phone: | 212-599-0099 |
Practice Address - Fax: | 212-599-0389 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-03-14 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |