Provider Demographics
NPI:1750929725
Name:ROCK PT REHAB
Entity type:Organization
Organization Name:ROCK PT REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PRAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-206-6400
Mailing Address - Street 1:16 E 48TH ST # 6F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1017
Mailing Address - Country:US
Mailing Address - Phone:212-206-6400
Mailing Address - Fax:917-591-3493
Practice Address - Street 1:16 E 48TH ST # 6F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1017
Practice Address - Country:US
Practice Address - Phone:212-206-6400
Practice Address - Fax:917-591-3493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty