Healthcare Provider Details

I. General information

NPI: 1851024491
Provider Name (Legal Business Name): EMPOWER REHAB OCCUPATIONAL & PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2895 ROOSEVELT AVENUE
BRONX NY
10465
US

IV. Provider business mailing address

2895 ROOSEVELT AVENUE
BRONX NY
10465
US

V. Phone/Fax

Practice location:
  • Phone: 718-233-8293
  • Fax:
Mailing address:
  • Phone: 718-233-8293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: PIERCE SANDER ARROYO
Title or Position: OWNER
Credential: OTR/L
Phone: 760-500-4836