Healthcare Provider Details

I. General information

NPI: 1841450814
Provider Name (Legal Business Name): ROCKLAND RECOVERY PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3296 PALISADES CENTER DR
WEST NYACK NY
10994-6602
US

IV. Provider business mailing address

3296 PALISADES CENTER DR
WEST NYACK NY
10994-6602
US

V. Phone/Fax

Practice location:
  • Phone: 845-354-7779
  • Fax: 845-354-7780
Mailing address:
  • Phone:
  • Fax: 845-354-7780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0273061
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD R SERRANO
Title or Position: OWNER
Credential: MS PT
Phone: 845-354-7779