Recovery PT Rehab, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RECOVERY PT REHAB, PC

Practice address

15054 Coolidge Ave
Jamaica, NY 11432-1622

Phone

(718) 880-2886

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Asnodin Dianalan

Title

President

Phone

(646) 441-0362

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1376935676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15054 COOLIDGE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15054 COOLIDGE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321622",
            "telephone_number": "718-880-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY PT REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "DIANALAN",
        "authorized_official_first_name": "ASNODIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-441-0362"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Raysor, RPH
• Maya Rayzman, MD
• RCS Occupational Therapy , PC
• Ready RX Pharmacy Corp
• Myra C Recon-Bucevic, MD
• Red Core Ptpta and Rehabilitation PLLC
• Keyana Tercel Redden
• Deirdre Shadeia Reddick, PA
• Megha Kamatam Reddy, MD
• Thulasi Ramu Reddy, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.