National Provider Identifier
Shannon Grage, PT, DPT
Shannon Grage, PT, DPT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Brockport, NY and a listed phone number of (585) 275-5321.
Profile Overview
- NPI
- 1790496396
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- December 06, 2022
- Last Updated
- December 06, 2022
Practice Location
- 156 West Ave
- Brockport, NY 14420-1229
Phone: (585) 275-5321
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1790496396
- Entity Type
- Individual
- Last Name
- Grage
- First Name
- Shannon
- Credential
- PT, DPT
- Mailing Street Address
- 156 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1229
- Mailing Country
- US
- Practice Street Address
- 156 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 275-5321
- Enumeration Date
- December 06, 2022
- Last Updated
- December 06, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)