Provider Demographics
NPI:1780238543
Name:SMART PHYSICAL THERAPY AND REHAB PLLC
Entity type:Organization
Organization Name:SMART PHYSICAL THERAPY AND REHAB PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RENUKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-406-3992
Mailing Address - Street 1:915 BROADWAY STE 1106
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7127
Mailing Address - Country:US
Mailing Address - Phone:212-333-4884
Mailing Address - Fax:212-475-4443
Practice Address - Street 1:915 BROADWAY STE 1106
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7127
Practice Address - Country:US
Practice Address - Phone:212-333-4884
Practice Address - Fax:212-475-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy