National Provider Identifier

Sparc Occupational And Physical Therapy Services

Sparc Occupational And Physical Therapy Services is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Rochester, NY and a listed phone number of (585) 355-4071.

NPI 1679983613Rochester, NYPediatric Physical Therapist

Profile Overview

NPI
1679983613
Provider Type
Organization
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
April 29, 2014
Last Updated
April 29, 2014

Practice Location

  • 595 Blossom RD
  • Suite 308
  • Rochester, NY 14610-1825

Phone: (585) 355-4071

Specialties

  • Pediatric Physical Therapist (2251P0200X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1679983613
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Sparc Occupational And Physical Therapy Services
Mailing Street Address
595 Blossom RD
Mailing Address Line 2
Suite 308
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-1825
Mailing Country
US
Mailing Phone
(585) 355-4071
Mailing Fax
(585) 355-4071
Practice Street Address
595 Blossom RD
Practice Address Line 2
Suite 308
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-1825
Practice Country
US
Practice Phone
(585) 355-4071
Practice Fax
(585) 355-4071
Enumeration Date
April 29, 2014
Last Updated
April 29, 2014
Authorized Official Last Name
Orlando
Authorized Official First Name
Margaret
Authorized Official Middle Name
M
Authorized Official Title
Owner
Authorized Official Phone
(585) 748-5689
Organization Subpart
No
Authorized Official Name Prefix Text
MS.
Authorized Official Credential Text
OTR
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X), Pediatric Occupational Therapist (225XP0200X)
Other Identifiers
003402 (NY, State License Number)