National Provider Identifier
Pavithra Raja, P.T.& PA-C
Pavithra Raja, P.T.& PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-9555.
Profile Overview
- NPI
- 1790013878
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 30, 2009
- Last Updated
- May 12, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-9555
Mailing Address
- 601 Elmwood Ave Box 655
- Rochester, NY 14642-8655
Specialties
- Physician Assistant (363A00000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1790013878
- Entity Type
- Individual
- Last Name
- Raja
- First Name
- Pavithra
- Credential
- P.T.& PA-C
- Mailing Street Address
- 601 Elmwood Ave Box 655
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8655
- 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) 275-9555
- Enumeration Date
- November 30, 2009
- Last Updated
- May 12, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physical Therapist (225100000X)