National Provider Identifier

Justin Bader, PT, DPT

Justin Bader, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lockport, NY and a listed phone number of (716) 433-0070.

NPI 1245630540Lockport, NYPhysical Therapist

Profile Overview

NPI
1245630540
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 25, 2014
Last Updated
February 15, 2024

Practice Location

  • 5848 Snyder Dr
  • Lockport, NY 14094-9497

Phone: (716) 433-0070

Mailing Address

  • 569 Lenape Ct
  • Suffern, NY 10901-4135

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1245630540
Entity Type
Individual
Last Name
Bader
First Name
Justin
Credential
PT, DPT
Mailing Street Address
569 Lenape Ct
Mailing City
Suffern
Mailing State
NY
Mailing ZIP Code
10901-4135
Mailing Country
US
Mailing Phone
(914) 447-1956
Practice Street Address
5848 Snyder Dr
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-9497
Practice Country
US
Practice Phone
(716) 433-0070
Enumeration Date
August 25, 2014
Last Updated
February 15, 2024
Sex
Male
Sole Proprietor
No
Certification Date
February 15, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)