MEDICARE: RECOVERY PHYSICAL THERAPY, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1477521854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY PHYSICAL THERAPY, PC

Provider Business Mailing Address
First Line	:	3276 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-4510
Country	:	US
Telephone Number	:	718-931-5550
Fax Number	:	718-931-5558

Provider Business Practice Location Address
First Line	:	3276 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-4510
Country	:	US
Telephone Number	:	718-931-5550
Fax Number	:	718-931-5558

Authorized Official
Title or Position	:	CEO
Name	:	JAMES CARDONE
Credential	:	PT
Telephone Number	:	212-599-0099

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	08/22/2020

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