National Provider Identifier
Matthew Stoutenburg, P.T.
Matthew Stoutenburg, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 385-0444.
Profile Overview
- NPI
- 1750373783
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 16, 2005
- Last Updated
- September 20, 2016
Practice Location
- 59 Perinton Hills Shopping Ctr
- Fairport, NY 14445
Phone: (585) 385-0444
Mailing Address
- PO Box 212
- Mendon, NY 14506-0212
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1750373783
- Entity Type
- Individual
- Last Name
- Stoutenburg
- First Name
- Matthew
- Credential
- P.T.
- Mailing Street Address
- PO Box 212
- Mailing City
- Mendon
- Mailing State
- NY
- Mailing ZIP Code
- 14506-0212
- Mailing Country
- US
- Mailing Phone
- (585) 582-6085
- Mailing Fax
- (844) 638-9546
- Practice Street Address
- 59 Perinton Hills Shopping Ctr
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14445
- Practice Country
- US
- Practice Phone
- (585) 385-0444
- Practice Fax
- (585) 385-0442
- Enumeration Date
- August 16, 2005
- Last Updated
- September 20, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)