National Provider Identifier

Amanda Elyse Coakley, PT

Amanda Elyse Coakley, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1275954471Rochester, NYPhysical Therapist

Profile Overview

NPI
1275954471
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 16, 2013
Last Updated
April 06, 2020

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-4000

Mailing Address

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1275954471
Entity Type
Individual
Last Name
Coakley
First Name
Amanda
Middle Name
Elyse
Credential
PT
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3011
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
December 16, 2013
Last Updated
April 06, 2020
Sex
Female
Sole Proprietor
No
Certification Date
April 06, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)