National Provider Identifier

Nicole Patricia Johnson, PT

Nicole Patricia Johnson, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Spencerport, NY and a listed phone number of (585) 349-5300.

NPI 1588915573Spencerport, NYPhysical Therapist

Profile Overview

NPI
1588915573
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 01, 2012
Last Updated
October 01, 2012

Practice Location

  • 2749 Spencerport RD
  • Spencerport, NY 14559-1942

Phone: (585) 349-5300

Mailing Address

  • 41 Quail Ln
  • Rochester, NY 14624-1066

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1588915573
Entity Type
Individual
Last Name
Johnson
First Name
Nicole
Middle Name
Patricia
Credential
PT
Mailing Street Address
41 Quail Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-1066
Mailing Country
US
Mailing Phone
(585) 503-3955
Practice Street Address
2749 Spencerport RD
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1942
Practice Country
US
Practice Phone
(585) 349-5300
Enumeration Date
October 01, 2012
Last Updated
October 01, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)