National Provider Identifier
On Track Physical Therapy PLLC
On Track Physical Therapy PLLC is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (315) 729-9056.
Profile Overview
- NPI
- 1891563664
- Provider Type
- Organization
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 12, 2023
- Last Updated
- December 12, 2023
Practice Location
- 1042 University Ave
- Rochester, NY 14607-1239
Phone: (315) 729-9056
Mailing Address
- 176 Berwick RD
- Rochester, NY 14609-7707
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1891563664
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- On Track Physical Therapy PLLC
- Mailing Street Address
- 176 Berwick RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-7707
- Mailing Country
- US
- Mailing Phone
- (315) 729-9056
- Practice Street Address
- 1042 University Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1239
- Practice Country
- US
- Practice Phone
- (315) 729-9056
- Enumeration Date
- December 12, 2023
- Last Updated
- December 12, 2023
- Authorized Official Last Name
- Graham
- Authorized Official First Name
- Carly
- Authorized Official Title
- Owner
- Authorized Official Phone
- (315) 729-9056
- Organization Subpart
- No
- Authorized Official Credential Text
- DPT
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)