National Provider Identifier

Jon Eric Lippert, PT, DPT

Jon Eric Lippert, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Penfield, NY and a listed phone number of (585) 377-9626.

NPI 1225766470Penfield, NYPhysical Therapist

Profile Overview

NPI
1225766470
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 15, 2022
Last Updated
August 24, 2022

Practice Location

  • 2200 Penfield RD
  • Penfield, NY 14526-1711

Phone: (585) 377-9626

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1225766470
Entity Type
Individual
Last Name
Lippert
First Name
Jon
Middle Name
Eric
Credential
PT, DPT
Mailing Street Address
2200 Penfield RD
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-1711
Mailing Country
US
Mailing Phone
(585) 377-9626
Practice Street Address
2200 Penfield RD
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1711
Practice Country
US
Practice Phone
(585) 377-9626
Enumeration Date
August 15, 2022
Last Updated
August 24, 2022
Sex
Male
Sole Proprietor
No
Certification Date
August 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)