Provider Demographics
NPI:1487750287
Name:NAPIERALA PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:NAPIERALA PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JILLAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-218-0240
Mailing Address - Street 1:161 E COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:E ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-1726
Mailing Address - Country:US
Mailing Address - Phone:585-218-0240
Mailing Address - Fax:585-218-0245
Practice Address - Street 1:161 E COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:E ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-1726
Practice Address - Country:US
Practice Address - Phone:585-218-0240
Practice Address - Fax:585-218-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010150-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA0485Medicare PIN