National Provider Identifier
Christina Nichole Summerville, P.T.
Christina Nichole Summerville, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Clarence, NY and a listed phone number of (716) 472-0652.
Profile Overview
- NPI
- 1538420955
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 01, 2012
- Last Updated
- August 21, 2020
Practice Location
- 9055 Main St
- Clarence, NY 14031-1965
Phone: (716) 472-0652
Mailing Address
- 25 Worthington Ln
- Lancaster, NY 14086-9391
Specialties
- Physical Therapist (225100000X)
- Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X)
Full Record
- NPI
- 1538420955
- Entity Type
- Individual
- Last Name
- Summerville
- First Name
- Christina
- Middle Name
- Nichole
- Credential
- P.T.
- Mailing Street Address
- 25 Worthington Ln
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-9391
- Mailing Country
- US
- Mailing Phone
- (716) 472-0652
- Practice Street Address
- 9055 Main St
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-1965
- Practice Country
- US
- Practice Phone
- (716) 472-0652
- Enumeration Date
- June 01, 2012
- Last Updated
- August 21, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X)