National Provider Identifier

Nunda Physical Therapy PLLC

Nunda Physical Therapy PLLC is listed in the NPPES registry with a primary specialty of Physical Therapist in Nunda, NY and a listed phone number of (585) 468-2020.

NPI 1255952099Nunda, NYPhysical Therapist

Source: public NPPES record, last updated May 04, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1255952099
Provider Type
Organization
Primary Specialty
Physical Therapist
Enumeration Date
May 04, 2020
Last Updated
May 04, 2020

Practice Location

  • 25 S West St
  • Nunda, NY 14517-9685

Phone: (585) 468-2020

Mailing Address

  • 25 S West St PO Box 614
  • Nunda, NY 14517-9685

Authorized Official

Name
Mrs. Alicia Ann Ebersole
Title
PT/Owner/Authorized Official
Credentials
PT
Phone
(585) 468-2020

Specialties

  • Physical Therapist (225100000X)

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Full Record
NPI
1255952099
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Nunda Physical Therapy PLLC
Mailing Street Address
25 S West St PO Box 614
Mailing City
Nunda
Mailing State
NY
Mailing ZIP Code
14517-9685
Mailing Country
US
Mailing Phone
(585) 468-2020
Mailing Fax
(585) 468-5001
Practice Street Address
25 S West St
Practice City
Nunda
Practice State
NY
Practice ZIP Code
14517-9685
Practice Country
US
Practice Phone
(585) 468-2020
Practice Fax
(585) 468-5001
Enumeration Date
May 04, 2020
Last Updated
May 04, 2020
Authorized Official Last Name
Ebersole
Authorized Official First Name
Alicia
Authorized Official Middle Name
Ann
Authorized Official Title
PT/Owner/Authorized Official
Authorized Official Phone
(585) 468-2020
Organization Subpart
Yes
Parent Organization Name
NUNDA PHYSICAL THERAPY PLLC
Parent Organization TIN
<UNAVAIL>
Authorized Official Name Prefix Text
Mrs.
Authorized Official Credential Text
PT
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
May 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)