National Provider Identifier

Jeremy Bray, PT, DPT

Jeremy Bray, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 377-0350.

NPI 1194190769Fairport, NYPhysical Therapist

Profile Overview

NPI
1194190769
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 08, 2015
Last Updated
December 08, 2015

Practice Location

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

Phone: (585) 377-0350

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1194190769
Entity Type
Individual
Last Name
Bray
First Name
Jeremy
Name Prefix
Dr.
Credential
PT, DPT
Mailing Street Address
4646 Fairport Nine Mile PT RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1163
Mailing Country
US
Mailing Phone
(585) 377-0350
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
(585) 377-0350
Enumeration Date
December 08, 2015
Last Updated
December 08, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)