Organization Active NPI

Reactive Physical Therapy & Rehab PC

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1831868256
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REACTIVE PHYSICAL THERAPY & REHAB PC
Practice address
7053 Castor Ave
Philadelphia, PA 19149-1712
Phone
(646) 431-3097
Fax
(718) 770-7681
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Dr. Roland Casino Paqueo, DPT
Title
President/Physical Therapy Provider
Phone
(646) 431-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7053 Castor Ave
Philadelphia, PA 19149-1712

Mailing address

7053 Castor Ave
Philadelphia, PA 19149-1712
Phone (646) 431-3097

National Provider Directory

National Provider Directory

Locations

7053 Castor Ave
Philadelphia, PA 19149
Phone (267) 686-8200

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1831868256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7053 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491712",
            "telephone_number": "646-431-3097",
            "fax_number": "718-770-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7053 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491712",
            "telephone_number": "646-431-3097",
            "fax_number": "718-770-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACTIVE PHYSICAL THERAPY & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "PAQUEO",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "CASINO",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPY PROVIDER",
        "authorized_official_telephone_number": "646-431-3097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.