National Provider Identifier

Sara Emilie Mooney

Sara Emilie Mooney is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 334-6000.

NPI 1790704732Rochester, NYPhysical Therapist

Profile Overview

NPI
1790704732
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 19, 2006
Last Updated
November 30, 2007

Practice Location

  • 3399 Winton RD S
  • Rochester, NY 14623-3057

Phone: (585) 334-6000

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1790704732
Entity Type
Individual
Last Name
Mooney
First Name
Sara
Middle Name
Emilie
Provider Other Last Name
Johannessen
Provider Other First Name
Sara
Provider Other Middle Name
Emilie
Provider Other Last Name Type Code
1
Mailing Street Address
3399 Winton RD S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-3057
Mailing Country
US
Mailing Phone
(585) 334-6000
Mailing Fax
(585) 334-2858
Practice Street Address
3399 Winton RD S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-3057
Practice Country
US
Practice Phone
(585) 334-6000
Practice Fax
(585) 334-2858
Enumeration Date
July 19, 2006
Last Updated
November 30, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
11334547 (NY, Caqh), 00355344 (NY)