Provider Demographics
NPI:1154293033
Name:REBOUND PHYSICAL REHABILITATION LLC
Entity type:Organization
Organization Name:REBOUND PHYSICAL REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FINUCANE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:914-420-1889
Mailing Address - Street 1:509 VAN DYKE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-1237
Mailing Address - Country:US
Mailing Address - Phone:914-420-1889
Mailing Address - Fax:
Practice Address - Street 1:509 VAN DYKE ST
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-1237
Practice Address - Country:US
Practice Address - Phone:914-420-1889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty