Provider Demographics
NPI:1871156323
Name:RONAI PHYSICAL THERAPY & SPORTS MEDICINE, LLC
Entity type:Organization
Organization Name:RONAI PHYSICAL THERAPY & SPORTS MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RONAI
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT ATC/L CSCS
Authorized Official - Phone:203-799-3343
Mailing Address - Street 1:630 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-2408
Mailing Address - Country:US
Mailing Address - Phone:203-494-0765
Mailing Address - Fax:
Practice Address - Street 1:400 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3545
Practice Address - Country:US
Practice Address - Phone:203-799-3343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy