Provider Demographics
NPI:1306690383
Name:FLEXI REHABILITATION LLC
Entity type:Organization
Organization Name:FLEXI REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RAGHUNANDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAPAKAM REDDIVARI KUMARA VENKATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-874-9097
Mailing Address - Street 1:363 N GREELEY AVE
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514
Mailing Address - Country:US
Mailing Address - Phone:804-874-9097
Mailing Address - Fax:
Practice Address - Street 1:363 N GREELEY AVE
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514
Practice Address - Country:US
Practice Address - Phone:804-874-9097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty