MEDICARE: RESILIENT PERFORMANCE PHYSICAL THERAPY

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	261QP2000X	Physical Therapy Clinic/Center	038952	NY

General Provider Information

NPI Number	:	1699129734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT PERFORMANCE PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	377 PARK AVE S FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-8807
Country	:	US
Telephone Number	:	929-429-5086
Fax Number	:

Provider Business Practice Location Address
First Line	:	377 PARK AVE S FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-8807
Country	:	US
Telephone Number	:	929-429-5086
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	TREVOR RAPPA
Credential	:	DPT
Telephone Number	:	309-824-5130

Provider Enumeration Date	:	04/14/2016
Last Update Date	:	08/29/2022

Similar Medicare Providers

1508586801 — GABRIEL STUMP
Practice Location Address:

377 PARK AVE S FL 2
NEW YORK, NY
10016-8807

Practice Phone: 862-337-0631
Practice Fax:

1144170937 — MELANIE KLEINER
Practice Location Address:

377 PARK AVE S FL 2
NEW YORK, NY
10016-8807

Practice Phone: 862-217-5136
Practice Fax:

1740974724 — CHANEL CARDENAS
Practice Location Address:

313 64TH ST
WEST NEW YORK, NJ
07093-8807

Practice Phone: 201-790-8740
Practice Fax:

1891751020 — BERMUDIAN SPRINGS SCHOOL DISTRICT
Practice Location Address:

7335 CARLISLE PIKE
YORK SPRINGS, PA
17372-8807

Practice Phone: 717-528-4113
Practice Fax: 717-528-7981

1205552031 — INDIVIDUAL & FAMILY COUNSELING CLINIC FOR HEALING & CHANGE PROFES
Practice Location Address:

9854 NEW HOPE RD
GALT, CA
95632-8807

Practice Phone: 209-406-0445
Practice Fax:

1376257261 — ANGELA LOUISE DAVIS
Practice Location Address:

3631 NEW CUMBERLAND RD NE
MINERAL CITY, OH
44656-8807

Practice Phone: 606-305-1556
Practice Fax:

Directions to “RESILIENT PERFORMANCE PHYSICAL THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.