NPIMap

Organization Active NPI

Jr Physical Therapy Peekskill PLLC

  • Physical Therapy Clinic/Center
  • Peekskill, NY
National Provider Identifier
1669010880
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JR PHYSICAL THERAPY PEEKSKILL PLLC
Practice address
930 South St Ste a
Peekskill, NY 10566-3427
Phone
(914) 488-5763
Fax
(914) 455-0217
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Joseph Rendina, PT OCS DPTNPI 1316350861
Title
Owner
Phone
(914) 488-5763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

930 South St Ste a
Peekskill, NY 10566-3427

Mailing address

939 Central Ave
Peekskill, NY 10566-2008
Phone (914) 488-5763

Other names 1

  • JR Physical Therapy Peekskill PLLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528000579 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092136119 Receives reassigned benefits from 5 practitioners
Practice locations: Peekskill, NY

National Provider Directory

National Provider Directory

Locations

930 South St
Ste A
Peekskill, NY 10566
Phone (914) 488-5763

939 Central Ave
Peekskill, NY 10566
Phone (914) 488-5763

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1669010880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 CENTRAL AVE",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662008",
            "telephone_number": "914-488-5763",
            "fax_number": "914-455-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SOUTH ST STE A",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663427",
            "telephone_number": "914-488-5763",
            "fax_number": "914-455-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR PHYSICAL THERAPY PEEKSKILL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "RENDINA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-488-5763",
        "authorized_official_credential": "PT OCS DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "939 Central Ave",
            "city": "Peekskill",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105662008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JR Physical Therapy Peekskill PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JR Physical Therapy Peekskill PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.