National Provider Identifier
Nicole Marie Bansbach, PT, DPT
Nicole Marie Bansbach, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Spencerport, NY and a listed phone number of (585) 349-5401.
Profile Overview
- NPI
- 1801603899
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 13, 2024
- Last Updated
- December 13, 2024
Practice Location
- 1 Bernabi RD
- Spencerport, NY 14559-1800
Phone: (585) 349-5401
Mailing Address
- 12 Clinton St
- Bergen, NY 14416-9576
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1801603899
- Entity Type
- Individual
- Last Name
- Bansbach
- First Name
- Nicole
- Middle Name
- Marie
- Credential
- PT, DPT
- Mailing Street Address
- 12 Clinton St
- Mailing City
- Bergen
- Mailing State
- NY
- Mailing ZIP Code
- 14416-9576
- Mailing Country
- US
- Practice Street Address
- 1 Bernabi RD
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559-1800
- Practice Country
- US
- Practice Phone
- (585) 349-5401
- Enumeration Date
- December 13, 2024
- Last Updated
- December 13, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)