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General NPI Number Information
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NPI Number | 1821944026
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY REHAB PRACTICE, PLLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 405 RXR PLZ
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City | UNIONDALE
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State | NY
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Zip | 11556-3811
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Country | US
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Telephone | 347-454-6806
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Fax |
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Provider Business Mailing Address
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Address Line | 405 RXR PLZ # F122
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City | UNIONDALE
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State | NY
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Zip | 11556-3811
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Country | US
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Telephone | 347-454-6806
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL THOMAS REGINA
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Credential | CEO
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Telephone | 347-454-6806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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