43Rd St. Physical Medicine and Rehabilitation, PLLC

Organization Active NPI Physical Therapist · New York, NY

NPI 1609149582 · NPPES record last updated Feb 22, 2012

Key facts

NPI
1609149582
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
033599-1 (NY)
Legal business name
43RD ST. PHYSICAL MEDICINE AND REHABILITATION, PLLC
Practice address
311 W 43Rd St
Suite 1101
New York, NY 10036-6413
Phone
(212) 315-1412
Fax
(212) 315-1442
NPI assigned
Feb 22, 2012
Organization subpart
No

Authorized official

Name
John Labonete Rivas, PT
Title
Physical Therapist
Phone
(213) 304-0502

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X 033599-1 NY Yes

Addresses

Primary practice location

311 W 43Rd St
Suite 1101
New York, NY 10036-6413

Mailing address

311 W 43Rd St
Suite 1101
New York, NY 10036-6413
Phone (212) 315-1412

Other providers in New York, NY

All providers in New York, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.