National Provider Identifier

Todd Brubaker, PTA

Todd Brubaker, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Buffalo, NY and a listed phone number of (800) 543-9399.

NPI 1750872057Buffalo, NYPhysical Therapy Assistant

Profile Overview

NPI
1750872057
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
May 22, 2018
Last Updated
May 22, 2018

Practice Location

  • 95 John Muir Dr
  • Buffalo, NY 14228-1144

Phone: (800) 543-9399

Mailing Address

  • 5944 Corinne Ln
  • Clarence Center, NY 14032-9526

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1750872057
Entity Type
Individual
Last Name
Brubaker
First Name
Todd
Credential
PTA
Mailing Street Address
5944 Corinne Ln
Mailing City
Clarence Center
Mailing State
NY
Mailing ZIP Code
14032-9526
Mailing Country
US
Practice Street Address
95 John Muir Dr
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14228-1144
Practice Country
US
Practice Phone
(800) 543-9399
Enumeration Date
May 22, 2018
Last Updated
May 22, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)