Organization Active NPI

Resolute Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Halfmoon, NY
National Provider Identifier
1699404889
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESOLUTE PHYSICAL THERAPY PLLC
Practice address
390 Ny-146
Halfmoon, NY 12065
Phone
(760) 521-7304
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Mr. Robert Louis Rehberger, PT, DPTNPI 1770026593
Title
Physical Therapist
Phone
(760) 521-7304

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

390 Ny-146
Halfmoon, NY 12065

Mailing address

11 Oakwood CT
Ballston Spa, NY 12020-2241
Phone (760) 521-7304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220816003208 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022491539 Receives reassigned benefits from 4 practitioners
Practice locations: Halfmoon, NY

National Provider Directory

National Provider Directory

Locations

390 Route 146
Halfmoon, NY 12065
Phone (518) 541-7771

Practitioners & affiliated clinicians

Practitioners 4

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": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1699404889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OAKWOOD CT",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202241",
            "telephone_number": "760-521-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NY-146",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "760-521-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "REHBERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-521-7304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.