National Provider Identifier

Elyssia Carmen Primus, PT

Elyssia Carmen Primus, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 402-0142.

NPI 1861953606Rochester, NYPhysical Therapist

Profile Overview

NPI
1861953606
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 26, 2019
Last Updated
March 31, 2025

Practice Location

  • 153 Richard St
  • Rochester, NY 14607-3844

Phone: (585) 402-0142

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1861953606
Entity Type
Individual
Last Name
Primus
First Name
Elyssia
Middle Name
Carmen
Credential
PT
Mailing Street Address
153 Richard St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-3844
Mailing Country
US
Practice Street Address
153 Richard St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-3844
Practice Country
US
Practice Phone
(585) 402-0142
Enumeration Date
March 26, 2019
Last Updated
March 31, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)