Organization Active NPI

Resilient Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1699129734
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
038952 Issued in NY
Legal business name
RESILIENT PERFORMANCE PHYSICAL THERAPY
Practice address
377 Park Ave S FL 2
New York, NY 10016-8807
Phone
(929) 429-5086
NPI assigned
Apr 14, 2016
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Trevor Rappa, DPTNPI 1639684723
Title
Physical Therapist
Phone
(309) 824-5130

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
Physical Therapy Clinic/Center 261QP2000X 038952 NY Primary

Addresses

Primary practice location

377 Park Ave S FL 2
New York, NY 10016-8807

Mailing address

377 Park Ave S FL 2
New York, NY 10016-8807
Phone (929) 429-5086

Other practice location 1

38 E 32nd St
New York, NY 10016-5507
Phone (309) 824-5130

National Provider Directory

National Provider Directory

Locations

377 Park Ave S
Fl 2
New York, NY 10016
Phone (862) 217-5136

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": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1699129734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 PARK AVE S FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168807",
            "telephone_number": "929-429-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 PARK AVE S FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168807",
            "telephone_number": "929-429-5086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165507",
            "country_code": "US",
            "telephone_number": "309-824-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESILIENT PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "RAPPA",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "309-824-5130",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "038952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.