National Provider Identifier

Jessica Mary Rush, PT, DPT

Jessica Mary Rush, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Tonawanda, NY and a listed phone number of (716) 640-8587.

NPI 1922306679Tonawanda, NYPhysical Therapist

Profile Overview

NPI
1922306679
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 04, 2011
Last Updated
March 04, 2011

Practice Location

  • 105 Winkler Dr
  • Tonawanda, NY 14150-6135

Phone: (716) 640-8587

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1922306679
Entity Type
Individual
Last Name
Rush
First Name
Jessica
Middle Name
Mary
Credential
PT, DPT
Provider Other Last Name
Signorino
Provider Other First Name
Jessica
Provider Other Middle Name
Mary
Provider Other Credential Text
PT, DPT
Provider Other Last Name Type Code
1
Mailing Street Address
105 Winkler Dr
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-6135
Mailing Country
US
Mailing Phone
(716) 640-8587
Practice Street Address
105 Winkler Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-6135
Practice Country
US
Practice Phone
(716) 640-8587
Enumeration Date
March 04, 2011
Last Updated
March 04, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)