National Provider Identifier
Theresa Mary Cacciola, PT, DPT
Theresa Mary Cacciola, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 249-7094.
Profile Overview
- NPI
- 1578064747
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 23, 2018
- Last Updated
- October 04, 2024
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 249-7094
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1578064747
- Entity Type
- Individual
- Last Name
- Cacciola
- First Name
- Theresa
- Middle Name
- Mary
- Credential
- PT, DPT
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 249-7094
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 249-7094
- Enumeration Date
- February 23, 2018
- Last Updated
- October 04, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)