National Provider Identifier

Michelle Ann Jimerson, D.P.T

Michelle Ann Jimerson, D.P.T is listed in the NPPES registry with a primary specialty of Physical Therapist in Irving, NY and a listed phone number of (716) 532-5582.

NPI 1982058749Irving, NYPhysical Therapist

Profile Overview

NPI
1982058749
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
April 19, 2016
Last Updated
September 15, 2025

Practice Location

  • 275 Thomas Indian School Dr
  • Irving, NY 14081-9341

Phone: (716) 532-5582

Mailing Address

  • 987 R C Hoag Dr
  • Salamanca, NY 14779-1365

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1982058749
Entity Type
Individual
Last Name
Jimerson
First Name
Michelle
Middle Name
Ann
Name Prefix
Dr.
Credential
D.P.T
Mailing Street Address
987 R C Hoag Dr
Mailing City
Salamanca
Mailing State
NY
Mailing ZIP Code
14779-1365
Mailing Country
US
Mailing Phone
(716) 945-5894
Mailing Fax
(716) 242-6345
Practice Street Address
275 Thomas Indian School Dr
Practice City
Irving
Practice State
NY
Practice ZIP Code
14081-9341
Practice Country
US
Practice Phone
(716) 532-5582
Practice Fax
(716) 242-6344
Enumeration Date
April 19, 2016
Last Updated
September 15, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 15, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
06899334 (NY)