Fitness & Recovery Medical Practice, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

203477 Issued in NY

Legal business name

FITNESS & RECOVERY MEDICAL PRACTICE, PC

Practice address

369 White Plains Rd Ste B
Eastchester, NY 10709-2805

Phone

(914) 395-3691

Fax

(914) 395-3693

NPI assigned

Jan 12, 2009

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mack Lee SullivanNPI 1881616068

Title

M.D.

Phone

(914) 395-3691

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mack Lee Sullivan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Eastchester, NY
  • NPI 1881616068
  Medicare reassignment Authorized official
• Richard Reyes Serrano, P.T

  • Physical Therapist
  • New City, NY
  • NPI 1588729636
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1114164225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WHITE PLAINS RD STE B",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092805",
            "telephone_number": "914-395-3691",
            "fax_number": "914-395-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 WHITE PLAINS RD STE B",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092805",
            "telephone_number": "914-395-3691",
            "fax_number": "914-395-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS & RECOVERY MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "914-395-3691"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203477",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "203477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "203477",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Felicetta, OTR
• Alicia Jasmine Ferdinand, FNP
• Kerrian Ferguson
• Lisa Ferrauto, MS ED
• Brian Harris Finn, DDS
• Fitness and Recovery Medical Practice
• Fitness and Recovery Medical Practice, PC
• Rosanna Forgione
• Patricia A Foxman, MD
• Alyssa Gaiser, LCSW

• Physical Medicine & Rehabilitation Physician in Eastchester, NY
• Providers in Eastchester, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.