J.R Physical Therapy and Performance, PLLC
Organization Active NPI Orthopedic Physical Therapist · Briarcliff, NY
NPI 1043762370 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1043762370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 62 038254 (NY)
- Legal business name
- J.R PHYSICAL THERAPY AND PERFORMANCE, PLLC
- Practice address
- 450 N State Rd
Briarcliff, NY 10510-1451 - Phone
- (914) 488-5763
- Fax
- (914) 455-0217
- NPI assigned
- Nov 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Rendina, D.P.T
- Title
- Ceo
- Phone
- (646) 628-3006
Practitioners 12
-
Angelo Annuzzi, PT, DPT
-
Ryan Chevrier, DPT
-
Anthony M. Delgiacco, PT, DPT
-
Joseph Rendina, DPT
-
Jade Somboonthum, PT, DPT
-
Melody Ovalles, DPT
-
Georgea Mitas, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170113001846 | NY | Part B Supplier - Clinic/Group Practice | 1254613847 |
Receives reassigned benefits from 6 practitioners Practice locations: Briarcliff, NY |
National Provider Directory
Locations
450 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 488-5763
541 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 222-0479
515 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 488-5763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist |
2251X0800X | 62 038254 | NY | Yes |
Addresses
Primary practice location
450 N State Rd
Briarcliff, NY 10510-1451
Mailing address
450 N State Rd
Briarcliff, NY 10510-1451
Phone (914) 488-5763
Other names
- Iron Health
Other providers in Briarcliff, NY
- Executive Park PT of Briarcliff LLC
- Christine Gorglione
- Andrew Greenberg
- Ronald Ernest Hanover
- Marypat S Hughes
- Andrea Johnson
- Debra Ann Johnson
- Martha Rossi McDermott
- Kimberly Moro
- Sari Neave
All providers in Briarcliff, NY · Orthopedic Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.