National Provider Identifier
Benjamin Taillie, PT
Benjamin Taillie, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Brockport, NY and a listed phone number of (585) 637-0790.
Profile Overview
- NPI
- 1528730348
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 30, 2021
- Last Updated
- November 28, 2023
Practice Location
- 92 West Ave
- Brockport, NY 14420-1306
Phone: (585) 637-0790
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1528730348
- Entity Type
- Individual
- Last Name
- Taillie
- First Name
- Benjamin
- Credential
- PT
- Mailing Street Address
- 92 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1306
- Mailing Country
- US
- Mailing Phone
- (585) 637-0790
- Mailing Fax
- (585) 637-3572
- Practice Street Address
- 92 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1306
- Practice Country
- US
- Practice Phone
- (585) 637-0790
- Practice Fax
- (585) 637-3572
- Enumeration Date
- September 30, 2021
- Last Updated
- November 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)