National Provider Identifier

Gerard Joseph Petix, PT

Gerard Joseph Petix, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 241-1612.

NPI 1225540222Rochester, NYPhysical Therapist

Profile Overview

NPI
1225540222
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 30, 2017
Last Updated
October 30, 2017

Practice Location

  • 1111 Elmwood Ave
  • Rochester, NY 14620-3005

Phone: (585) 241-1612

Mailing Address

  • PO Box 20280
  • Rochester, NY 14602-0280

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1225540222
Entity Type
Individual
Last Name
Petix
First Name
Gerard
Middle Name
Joseph
Name Prefix
Mr.
Credential
PT
Mailing Street Address
PO Box 20280
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14602-0280
Mailing Country
US
Mailing Phone
(585) 733-8596
Practice Street Address
1111 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3005
Practice Country
US
Practice Phone
(585) 241-1612
Practice Fax
(585) 241-1265
Enumeration Date
October 30, 2017
Last Updated
October 30, 2017
Sex
Male
Sole Proprietor
Yes
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
006646-1 (NY, Nys Physical Therapy License #)