National Provider Identifier

Jason Smith, P.T.

Jason Smith, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Penfield, NY and a listed phone number of (585) 381-4128.

NPI 1437304060Penfield, NYPhysical Therapist

Profile Overview

NPI
1437304060
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
November 24, 2008
Last Updated
November 24, 2008

Practice Location

  • 2006 Five Mile Line RD
  • Suite 117
  • Penfield, NY 14526-1419

Phone: (585) 381-4128

Mailing Address

  • 20 Peachtree Ct
  • Suite 105
  • Holbrook, NY 11741-4616

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1437304060
Entity Type
Individual
Last Name
Smith
First Name
Jason
Credential
P.T.
Mailing Street Address
20 Peachtree Ct
Mailing Address Line 2
Suite 105
Mailing City
Holbrook
Mailing State
NY
Mailing ZIP Code
11741-4616
Mailing Country
US
Mailing Phone
(631) 467-3700
Mailing Fax
(631) 467-0928
Practice Street Address
2006 Five Mile Line RD
Practice Address Line 2
Suite 117
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-1419
Practice Country
US
Practice Phone
(585) 381-4128
Practice Fax
(585) 381-4128
Enumeration Date
November 24, 2008
Last Updated
November 24, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)