NPI 1003263534

Ignite Rehab PT PC

Organisation Physical Therapist Brooklyn, NY

Practice location

Address: 3000 Ocean Pkwy APT 2j, Brooklyn, NY 11235-8344
Phone: (718) 714-4650

Authorised official

Name: Roland Paqueo
Title: Pt/Owner
Phone: (718) 714-4650

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 022730 (NY)

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Registry record

NPI: 1003263534
Entity type: Organization
NPI issued: 13 May 2016
Record last updated: 9 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.