Healthcare Provider Details

I. General information

NPI: 1851347496
Provider Name (Legal Business Name): RECOVERY PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 BROADWAY
NEW YORK NY
10010-6002
US

IV. Provider business mailing address

902 BROADWAY
NEW YORK NY
10010-6002
US

V. Phone/Fax

Practice location:
  • Phone: 646-654-1835
  • Fax: 646-654-6789
Mailing address:
  • Phone: 646-654-1835
  • Fax: 646-654-6789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES CARDONE
Title or Position: CEO
Credential: PT
Phone: 212-599-0099