Provider Demographics
NPI:1285443697
Name:VIRTUAL MECHANICAL PHYSICAL THERAPY
Entity type:Organization
Organization Name:VIRTUAL MECHANICAL PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WESTLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:585-880-5647
Mailing Address - Street 1:3153 COUNTY ROAD 40
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14469-9363
Mailing Address - Country:US
Mailing Address - Phone:585-880-5647
Mailing Address - Fax:
Practice Address - Street 1:3153 COUNTY ROAD 40
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NY
Practice Address - Zip Code:14469-9363
Practice Address - Country:US
Practice Address - Phone:585-880-5647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-01
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty