NPIMap

Organization Active NPI

Rehabpro Physical Therapy, PC

  • Physical Therapist
  • Melville, NY
National Provider Identifier
1154355444
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021477 Issued in NY
Legal business name
REHABPRO PHYSICAL THERAPY, PC
Practice address
560 Broadhollow Rd Ste 304
Melville, NY 11747-3702
Phone
(516) 222-2010
Fax
(516) 222-2011
NPI assigned
Jul 10, 2006
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mr. Robert B Marder, MSPTNPI 1073508719
Title
President
Phone
(516) 375-4320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021477 NY Primary

Addresses

Primary practice location

560 Broadhollow Rd Ste 304
Melville, NY 11747-3702

Mailing address

560 Broadhollow Rd Ste 304
Melville, NY 11747-3702
Phone (516) 222-2010

National Provider Directory

National Provider Directory

Locations

258 E Meadow Ave
Ste 3
East Meadow, NY 11554
Phone (516) 222-2010

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1154355444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BROADHOLLOW RD STE 304",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473702",
            "telephone_number": "516-222-2010",
            "fax_number": "516-222-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BROADHOLLOW RD STE 304",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473702",
            "telephone_number": "516-222-2010",
            "fax_number": "516-222-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABPRO PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-375-4320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.