Provider Demographics
NPI:1780748780
Name:REDINGTON, JOSEPH IV (PT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:REDINGTON
Suffix:IV
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WATERSIDE PLZ APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2635
Mailing Address - Country:US
Mailing Address - Phone:212-887-1525
Mailing Address - Fax:
Practice Address - Street 1:48 E 43RD ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3807
Practice Address - Country:US
Practice Address - Phone:212-682-8727
Practice Address - Fax:212-682-8753
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17885-1225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic