National Provider Identifier
Marietta Joanne Phillips, PT
Marietta Joanne Phillips, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 290-1490.
Profile Overview
- NPI
- 1104960343
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 19, 2007
- Last Updated
- January 23, 2025
Practice Location
- 2755 Buffalo RD
- Rochester, NY 14624-1304
Phone: (585) 290-1490
Mailing Address
- 45 Tellidora Trl
- Spencerport, NY 14559-9404
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1104960343
- Entity Type
- Individual
- Last Name
- Phillips
- First Name
- Marietta
- Middle Name
- Joanne
- Name Prefix
- Mrs.
- Credential
- PT
- Mailing Street Address
- 45 Tellidora Trl
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-9404
- Mailing Country
- US
- Mailing Phone
- (585) 293-1285
- Practice Street Address
- 2755 Buffalo RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1304
- Practice Country
- US
- Practice Phone
- (585) 290-1490
- Enumeration Date
- February 19, 2007
- Last Updated
- January 23, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 23, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)