MEDICARE: RT PHYSICAL THJERPY AND 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	015861-1	NY

General Provider Information

NPI Number	:	1932258753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RT PHYSICAL THJERPY AND REHABILITATION, PC

Provider Business Mailing Address
First Line	:	6254 97TH PL
Second Line	:	SUITE 1A
City	:	REGO PARK
State	:	NY
Zip	:	11374-1346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 EAST 71 ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	11374
Country	:	US
Telephone Number	:	212-629-1883
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	REUVEN TOKER
Credential	:	RPT
Telephone Number	:	718-393-3844

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/22/2020

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