MEDICARE: REITER REHABILITATION PT 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	2251X0800X	Orthopedic Physical Therapist	024540-1	NY

General Provider Information

NPI Number	:	1174867865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REITER REHABILITATION PT PC

Provider Business Mailing Address
First Line	:	301 E 66TH ST
Second Line	:	9B
City	:	NEW YORK
State	:	NY
Zip	:	10065-6205
Country	:	US
Telephone Number	:	917-721-6834
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 E 66TH ST
Second Line	:	9B
City	:	NEW YORK
State	:	NY
Zip	:	10065-6205
Country	:	US
Telephone Number	:	917-721-6834
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBIN J REITER
Credential	:	DPT, ATC
Telephone Number	:	917-721-6834

Provider Enumeration Date	:	11/19/2012
Last Update Date	:	01/07/2013

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