MEDICARE: RYE PHYSICAL THERAPY & REHABILITATION, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	012761	NY

General Provider Information

NPI Number	:	1124025788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYE PHYSICAL THERAPY & REHABILITATION, PC

Provider Business Mailing Address
First Line	:	411 THEODORE FREMD AVE
Second Line	:	SUITE 104
City	:	RYE
State	:	NY
Zip	:	10580-1410
Country	:	US
Telephone Number	:	914-921-6061
Fax Number	:	914-921-6075

Provider Business Practice Location Address
First Line	:	411 THEODORE FREMD AVE
Second Line	:	SUITE 104
City	:	RYE
State	:	NY
Zip	:	10580-1410
Country	:	US
Telephone Number	:	914-921-6061
Fax Number	:	914-921-6075

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MATTHEW HYLAND
Credential	:	P.T.
Telephone Number	:	914-921-6061

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/21/2015

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