Provider Demographics
NPI:1609441690
Name:RECOVERY AT HOME PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:RECOVERY AT HOME PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:DONIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:516-524-8515
Mailing Address - Street 1:337 PERKINS AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-3818
Mailing Address - Country:US
Mailing Address - Phone:516-524-8515
Mailing Address - Fax:
Practice Address - Street 1:337 PERKINS AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-3818
Practice Address - Country:US
Practice Address - Phone:516-524-8515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-23
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy