Healthcare Provider Details

I. General information

NPI: 1437075199
Provider Name (Legal Business Name): PINNACLE REHABILITATION PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 RAFTERSRIDGE DR
MIDLOTHIAN VA
23113-3747
US

IV. Provider business mailing address

3607 RAFTERSRIDGE DR
MIDLOTHIAN VA
23113-3747
US

V. Phone/Fax

Practice location:
  • Phone: 516-459-9288
  • Fax:
Mailing address:
  • Phone: 516-459-9288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL JAMES LONGO
Title or Position: OWNER
Credential: PT, DPT
Phone: 516-459-9288