National Provider Identifier

Rodrigo Macias Jr., DPT

Rodrigo Macias Jr., DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (909) 419-6606.

NPI 1043948490Fairport, NYPhysical Therapist

Profile Overview

NPI
1043948490
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 12, 2022
Last Updated
August 12, 2022

Practice Location

  • 4646 Fairport Nine Mile PT RD
  • Fairport, NY 14450-1163

Phone: (909) 419-6606

Mailing Address

  • 6 Mima Cir
  • Fairport, NY 14450-9791

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1043948490
Entity Type
Individual
Last Name
Macias
First Name
Rodrigo
Name Prefix
Dr.
Name Suffix
Jr.
Credential
DPT
Mailing Street Address
6 Mima Cir
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-9791
Mailing Country
US
Practice Street Address
4646 Fairport Nine Mile PT RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1163
Practice Country
US
Practice Phone
(909) 419-6606
Enumeration Date
August 12, 2022
Last Updated
August 12, 2022
Sex
Male
Sole Proprietor
No
Certification Date
August 12, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)