National Provider Identifier
Timothy John Pembroke, PT
Timothy John Pembroke, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Macedon, NY and a listed phone number of (585) 455-6610.
Profile Overview
- NPI
- 1518198126
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 30, 2009
- Last Updated
- August 13, 2009
Practice Location
- 4336 W Walworth RD
- Macedon, NY 14502-9380
Phone: (585) 455-6610
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1518198126
- Entity Type
- Individual
- Last Name
- Pembroke
- First Name
- Timothy
- Middle Name
- John
- Name Prefix
- Dr.
- Credential
- PT
- Mailing Street Address
- 4336 W Walworth RD
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-9380
- Mailing Country
- US
- Mailing Phone
- (585) 455-6610
- Practice Street Address
- 4336 W Walworth RD
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-9380
- Practice Country
- US
- Practice Phone
- (585) 455-6610
- Enumeration Date
- July 30, 2009
- Last Updated
- August 13, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)