# IVYREHAB FOCUS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518105279
- **Authorized official:** MICHAEL RUCKER (CEO)
- **Authorized official phone:** (914) 777-8700

## Contact information

- **Practice address:** 439 CHANNEL RD STE 102, LAKE WYLIE, SC 29710-6101
- **Practice address phone:** (803) 746-7800
- **Practice address fax:** (803) 746-7807
- **Mailing address:** 1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
- **Mailing address phone:** (914) 294-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 08/12/2022