National Provider Identifier

Heather Michele Chatt, DPT, OCS, CERT.MDT

Heather Michele Chatt, DPT, OCS, CERT.MDT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 425-1018.

NPI 1013052265Fairport, NYPhysical Therapist

Profile Overview

NPI
1013052265
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 21, 2007
Last Updated
August 23, 2011

Practice Location

  • 790 Ayrault RD
  • Fairport, NY 14450-8981

Phone: (585) 425-1018

Mailing Address

  • 604 Concord Dr
  • Webster, NY 14580-8414

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1013052265
Entity Type
Individual
Last Name
Chatt
First Name
Heather
Middle Name
Michele
Name Prefix
Dr.
Credential
DPT, OCS, CERT.MDT
Provider Other Last Name
Bak
Provider Other First Name
Heather
Provider Other Middle Name
Michele
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
DPT, CERT MDT
Provider Other Last Name Type Code
1
Mailing Street Address
604 Concord Dr
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-8414
Mailing Country
US
Mailing Phone
(585) 781-4510
Practice Street Address
790 Ayrault RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-8981
Practice Country
US
Practice Phone
(585) 425-1018
Enumeration Date
February 21, 2007
Last Updated
August 23, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)