NPIMap

Organization Active NPI

873 RT 45 Suite 102 Physical Therapy,PLLC

Doing business as Rockland Recovery Physical Therapy

  • Specialist
  • New City, NY
National Provider Identifier
1679845762
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
027306 Issued in NY
Legal business name
873 RT 45 SUITE 102 PHYSICAL THERAPY,PLLC
Doing business as
Rockland Recovery Physical Therapy
Practice address
873 Route 45 Ste 102
New City, NY 10956-1106
Phone
(845) 354-7779
Fax
(845) 354-7780
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Mr. Richard Serrano, PTNPI 1588729636
Title
Physical Therapist
Phone
(845) 354-7779

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 027306 NY Primary

Addresses

Primary practice location

873 Route 45 Ste 102
New City, NY 10956-1106

Mailing address

873 Route 45 Suite 102
New City, NY 10956
Phone (845) 354-7779

Other names 1

  • Rockland Recovery Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
873 RT 45 Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1679845762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45 SUITE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-354-7779",
            "fax_number": "845-354-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45 STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561106",
            "telephone_number": "845-354-7779",
            "fax_number": "845-354-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "873 RT 45 SUITE 102 PHYSICAL THERAPY,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-354-7779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "027306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockland Recovery Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.