National Provider Identifier
Brian Scott Pettit
Brian Scott Pettit is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 727-5895.
Profile Overview
- NPI
- 1134636541
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 08, 2018
- Last Updated
- January 08, 2018
Practice Location
- 1550 Portland Ave
- Rochester, NY 14621-3010
Phone: (585) 727-5895
Mailing Address
- 26 Golden Pond Trl
- Spencerport, NY 14559-9609
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1134636541
- Entity Type
- Individual
- Last Name
- Pettit
- First Name
- Brian
- Middle Name
- Scott
- Name Prefix
- Mr.
- Mailing Street Address
- 26 Golden Pond Trl
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-9609
- Mailing Country
- US
- Practice Street Address
- 1550 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3010
- Practice Country
- US
- Practice Phone
- (585) 727-5895
- Enumeration Date
- January 08, 2018
- Last Updated
- January 08, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)