National Provider Identifier

Philip Jared Oppenheimer, PT

Philip Jared Oppenheimer, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 626-0093.

NPI 1366729337Williamsville, NYPhysical Therapist

Profile Overview

NPI
1366729337
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
November 04, 2011
Last Updated
November 04, 2011

Practice Location

  • 100 College Pkwy
  • Ste 100
  • Williamsville, NY 14221-6800

Phone: (716) 626-0093

Mailing Address

  • 908 Niagara Falls Blvd
  • Ste 208
  • N Tonawanda, NY 14120-2019

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1366729337
Entity Type
Individual
Last Name
Oppenheimer
First Name
Philip
Middle Name
Jared
Credential
PT
Mailing Street Address
908 Niagara Falls Blvd
Mailing Address Line 2
Ste 208
Mailing City
N Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-2160
Mailing Fax
(716) 332-3525
Practice Street Address
100 College Pkwy
Practice Address Line 2
Ste 100
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6800
Practice Country
US
Practice Phone
(716) 626-0093
Practice Fax
(716) 626-9193
Enumeration Date
November 04, 2011
Last Updated
November 04, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)