Provider Demographics
NPI:1902565484
Name:RESOLVE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:RESOLVE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:LEIGHTY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPT
Authorized Official - Phone:845-649-4291
Mailing Address - Street 1:104 BENNETT AVE STE 2A-2
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-9423
Mailing Address - Country:US
Mailing Address - Phone:845-649-4291
Mailing Address - Fax:
Practice Address - Street 1:104 BENNETT AVE STE 2A-2
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-9423
Practice Address - Country:US
Practice Address - Phone:845-649-4291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty