National Provider Identifier
Nicholas James Antonio, DPT
Nicholas James Antonio, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 617-0581.
Profile Overview
- NPI
- 1962046367
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 30, 2019
- Last Updated
- December 17, 2019
Practice Location
- 95 Canal Landing Blvd Ste 2-3
- Rochester, NY 14626-5111
Phone: (585) 617-0581
Mailing Address
- 427 True Hickory Dr
- Rochester, NY 14615-1321
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1962046367
- Entity Type
- Individual
- Last Name
- Antonio
- First Name
- Nicholas
- Middle Name
- James
- Credential
- DPT
- Mailing Street Address
- 427 True Hickory Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-1321
- Mailing Country
- US
- Mailing Phone
- (585) 690-7167
- Practice Street Address
- 95 Canal Landing Blvd Ste 2-3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-5111
- Practice Country
- US
- Practice Phone
- (585) 617-0581
- Practice Fax
- (585) 617-0438
- Enumeration Date
- October 30, 2019
- Last Updated
- December 17, 2019
- Deactivation Date
- October 30, 2019
- Reactivation Date
- December 17, 2019
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 17, 2019
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)