RJL Prodynamic Care Physical Therapy PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

026709-1 Issued in NY

Legal business name

RJL PRODYNAMIC CARE PHYSICAL THERAPY PC

Practice address

8027 135TH St
Jamaica, NY 11435-1029

Phone

(347) 561-3120

Fax

(347) 561-3142

NPI assigned

Nov 5, 2009

Last updated

Nov 5, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

RJL PRODYNAMIC CARE PHYSICAL THERAPY P.CAs reported in NPPES

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

Authorized official

Name

Dina Badalova

Title

Manager

Phone

(347) 561-3120

Specialties & licenses 1

Addresses

Part of

RJL Prodynamic Care Physical Therapy PC

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1174850580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 135TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351029",
            "telephone_number": "347-561-3120",
            "fax_number": "347-561-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 135TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351029",
            "telephone_number": "347-561-3120",
            "fax_number": "347-561-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJL PRODYNAMIC CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RJL PRODYNAMIC CARE PHYSICAL THERAPY P.C",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "BADALOVA",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-561-3120"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "026709-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorell Rivera, BSW
• Nia S Rivera, PA-C
• Sandra Rivera
• Batool Fatima Rizvi, DDS
• Vincent Rizzo Jr., M.D.
• RN Occupational Therapy P.C
• Ro Paul Drug Corp (Tower Pharmacy and Surgical)
• Enid A. Roach, MSW
• Malaika Roach, CASAC ADV, CPRA
• Renee R Roach, LMHC, NCC

• Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.