National Provider Identifier

Integrated Physical Therapy Of Irondequoit PLLC

Integrated Physical Therapy Of Irondequoit PLLC is listed in the NPPES registry with a primary specialty of Physical Therapy Clinic/Center in Rochester, NY and a listed phone number of (585) 544-4077.

NPI 1568178218Rochester, NYPhysical Therapy Clinic/Center

Profile Overview

NPI
1568178218
Provider Type
Organization
Primary Specialty
Physical Therapy Clinic/Center
Enumeration Date
January 26, 2023
Last Updated
January 26, 2023

Practice Location

  • 884 E Ridge RD
  • Rochester, NY 14621-1718

Phone: (585) 544-4077

Mailing Address

  • 16 Main St
  • Hilton, NY 14468-1211

Specialties

  • Physical Therapy Clinic/Center (261QP2000X)
Full Record
NPI
1568178218
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Integrated Physical Therapy Of Irondequoit PLLC
Mailing Street Address
16 Main St
Mailing City
Hilton
Mailing State
NY
Mailing ZIP Code
14468-1211
Mailing Country
US
Mailing Phone
(585) 391-0394
Mailing Fax
(585) 392-8126
Practice Street Address
884 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1718
Practice Country
US
Practice Phone
(585) 544-4077
Practice Fax
(585) 544-4070
Enumeration Date
January 26, 2023
Last Updated
January 26, 2023
Authorized Official Last Name
Zastawrny
Authorized Official First Name
John
Authorized Official Title
Owner
Authorized Official Phone
(585) 719-6493
Organization Subpart
No
Certification Date
January 26, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Clinic/Center (261QP2000X)