Healthcare Provider Details

I. General information

NPI: 1932529484
Provider Name (Legal Business Name): SHUMAN PHYSICAL THERAPY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 STATE ST
PITTSFORD NY
14534-2049
US

IV. Provider business mailing address

PO BOX 664
MENDON NY
14506-0664
US

V. Phone/Fax

Practice location:
  • Phone: 585-387-7180
  • Fax: 585-387-7182
Mailing address:
  • Phone: 585-851-9987
  • Fax: 866-299-5675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CAROL WHITBOURNE
Title or Position: OFFICE MANAGER
Credential:
Phone: 585-851-9987