National Provider Identifier

Matthew John Condame, PT, DPT

Matthew John Condame, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Macedon, NY and a listed phone number of (315) 986-4655.

NPI 1154077410Macedon, NYPhysical Therapist

Profile Overview

NPI
1154077410
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 25, 2022
Last Updated
February 25, 2022

Practice Location

  • 1900 State Route 31 Ste 12
  • Macedon, NY 14502-8943

Phone: (315) 986-4655

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1154077410
Entity Type
Individual
Last Name
Condame
First Name
Matthew
Middle Name
John
Credential
PT, DPT
Mailing Street Address
1900 State Route 31 Ste 12
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8943
Mailing Country
US
Mailing Phone
(315) 986-4655
Mailing Fax
(315) 986-5901
Practice Street Address
1900 State Route 31 Ste 12
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502-8943
Practice Country
US
Practice Phone
(315) 986-4655
Practice Fax
(315) 986-5901
Enumeration Date
February 25, 2022
Last Updated
February 25, 2022
Sex
Male
Sole Proprietor
No
Certification Date
February 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)