National Provider Identifier

Jeffery Thomas Podraza, P.T.

Jeffery Thomas Podraza, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 631-1212.

NPI 1558327619Williamsville, NYPhysical Therapist

Profile Overview

NPI
1558327619
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
April 25, 2006
Last Updated
July 08, 2007

Practice Location

  • 8705 Sheridan Dr
  • Williamsville, NY 14221-6317

Phone: (716) 631-1212

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1558327619
Entity Type
Individual
Last Name
Podraza
First Name
Jeffery
Middle Name
Thomas
Name Prefix
Mr.
Credential
P.T.
Mailing Street Address
8705 Sheridan Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6317
Mailing Country
US
Mailing Phone
(716) 631-1212
Mailing Fax
(716) 631-1363
Practice Street Address
8705 Sheridan Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6317
Practice Country
US
Practice Phone
(716) 631-1212
Practice Fax
(716) 631-1363
Enumeration Date
April 25, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
00027516501 (NY, Univera Health Care), 000626303002 (NY, Blue Cross & Blue Shield)