Provider Demographics
NPI:1457169294
Name:GABRIEL BRIGGS PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:GABRIEL BRIGGS PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:680-800-4490
Mailing Address - Street 1:5700 W GENESEE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-3202
Mailing Address - Country:US
Mailing Address - Phone:680-800-4490
Mailing Address - Fax:680-800-1003
Practice Address - Street 1:5700 W GENESEE ST STE 7
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-3202
Practice Address - Country:US
Practice Address - Phone:680-800-4490
Practice Address - Fax:680-800-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy