National Provider Identifier

Niko Ryan, DPT

Niko Ryan, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 723-7000.

NPI 1417733619Rochester, NYPhysical Therapist

Profile Overview

NPI
1417733619
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 04, 2023
Last Updated
September 04, 2023

Practice Location

  • 1555 Long Pond RD
  • Rochester, NY 14626-4164

Phone: (585) 723-7000

Mailing Address

  • 620 Park Ave # 133
  • Rochester, NY 14607-2943

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1417733619
Entity Type
Individual
Last Name
Ryan
First Name
Niko
Name Prefix
Dr.
Credential
DPT
Provider Other Last Name
Nesic
Provider Other First Name
Sarah
Provider Other Last Name Type Code
1
Mailing Street Address
620 Park Ave # 133
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-2943
Mailing Country
US
Mailing Phone
(603) 832-8298
Practice Street Address
1555 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4164
Practice Country
US
Practice Phone
(585) 723-7000
Enumeration Date
September 04, 2023
Last Updated
September 04, 2023
Sex
Male
Sole Proprietor
No
Certification Date
September 04, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)