National Provider Identifier
Tina M Fella, PT
Tina M Fella, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 368-4152.
Profile Overview
- NPI
- 1609415413
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 26, 2019
- Last Updated
- December 26, 2019
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 368-4152
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1609415413
- Entity Type
- Individual
- Last Name
- Fella
- First Name
- Tina
- Middle Name
- M
- Credential
- PT
- Provider Other Last Name
- Watts
- Provider Other First Name
- Tina
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1555 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 368-4152
- Mailing Fax
- (585) 723-7241
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 368-4152
- Practice Fax
- (585) 723-7241
- Enumeration Date
- December 26, 2019
- Last Updated
- December 26, 2019
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 26, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)