National Provider Identifier
Timothy Jordan O'Connor
Timothy Jordan O'Connor is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 275-3798.
Profile Overview
- NPI
- 1689212334
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 12, 2019
- Last Updated
- December 12, 2019
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-3798
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1689212334
- Entity Type
- Individual
- Last Name
- O'Connor
- First Name
- Timothy
- Middle Name
- Jordan
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-3798
- Enumeration Date
- December 12, 2019
- Last Updated
- December 12, 2019
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 12, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)