Organization
IVYREHAB SEPT, LLC
Active
Other names
Spectrum Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUCKER (CEO)
(631) 580-5200
Entity
Organization
Contact information
Practice address
1622 TIMBERWOOD BOULEVARD, SUITE 211, CHARLOTTESVILLE, VA 22911-7573
(434) 202-2830
(434) 529-8457
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/20/2017
Last updated
08/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us