National Provider Identifier
Roxane Nicholson, PT
Roxane Nicholson, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Newark, NY and a listed phone number of (315) 331-7741.
Profile Overview
- NPI
- 1942878269
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 14, 2021
- Last Updated
- October 21, 2024
Practice Location
- 150 Vanburen Street
- Newark, NY 14513
Phone: (315) 331-7741
Mailing Address
- 508 Vienna St Lot 13
- Newark, NY 14513-9160
Specialties
- Physical Therapist (225100000X)
- Physical Therapy Clinic/Center (261QP2000X)
Full Record
- NPI
- 1942878269
- Entity Type
- Individual
- Last Name
- Nicholson
- First Name
- Roxane
- Credential
- PT
- Mailing Street Address
- 508 Vienna St Lot 13
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9160
- Mailing Country
- US
- Mailing Phone
- (585) 966-9166
- Practice Street Address
- 150 Vanburen Street
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 331-7741
- Enumeration Date
- June 14, 2021
- Last Updated
- October 21, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapy Clinic/Center (261QP2000X)