National Provider Identifier

Peyton Dare Notebaert, PT, DPT

Peyton Dare Notebaert, PT, DPT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Medina, NY and a listed phone number of (585) 798-4344.

NPI 1740947142Medina, NYOrthopedic Physical Therapist

Profile Overview

NPI
1740947142
Provider Type
Individual
Primary Specialty
Orthopedic Physical Therapist
Enumeration Date
November 19, 2021
Last Updated
November 19, 2021

Practice Location

  • 711 Park Ave
  • Medina, NY 14103-1078

Phone: (585) 798-4344

Mailing Address

  • 6219 Tonawanda Creek RD Apt 16
  • Lockport, NY 14094-7903

Specialties

  • Orthopedic Physical Therapist (2251X0800X)
Full Record
NPI
1740947142
Entity Type
Individual
Last Name
Notebaert
First Name
Peyton
Middle Name
Dare
Name Prefix
Dr.
Credential
PT, DPT
Mailing Street Address
6219 Tonawanda Creek RD Apt 16
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-7903
Mailing Country
US
Mailing Phone
(315) 690-6730
Practice Street Address
711 Park Ave
Practice City
Medina
Practice State
NY
Practice ZIP Code
14103-1078
Practice Country
US
Practice Phone
(585) 798-4344
Practice Fax
(585) 798-0439
Enumeration Date
November 19, 2021
Last Updated
November 19, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
November 18, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopedic Physical Therapist (2251X0800X)