National Provider Identifier
Jacob Robert Fay, DPT
Jacob Robert Fay, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Orchard Park, NY and a listed phone number of (716) 667-4000.
Profile Overview
- NPI
- 1154128932
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 27, 2025
- Last Updated
- February 27, 2025
Practice Location
- 4077 N Buffalo St
- Orchard Park, NY 14127-2442
Phone: (716) 667-4000
Mailing Address
- PO Box 856
- Orchard Park, NY 14127-0856
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1154128932
- Entity Type
- Individual
- Last Name
- Fay
- First Name
- Jacob
- Middle Name
- Robert
- Credential
- DPT
- Mailing Street Address
- PO Box 856
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-0856
- Mailing Country
- US
- Mailing Phone
- (716) 667-4000
- Mailing Fax
- (716) 206-7863
- Practice Street Address
- 4077 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2442
- Practice Country
- US
- Practice Phone
- (716) 667-4000
- Practice Fax
- (716) 206-7863
- Enumeration Date
- February 27, 2025
- Last Updated
- February 27, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)