Healthcare Provider Details

I. General information

NPI: 1013830314
Provider Name (Legal Business Name): EVAN NAPPER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 LAC DEVILLE BLVD BUILDING D
ROCHESTER NY
14618
US

IV. Provider business mailing address

15 MEDTECH DRIVE APARTMENT 9
BATAVIA NY
14020
US

V. Phone/Fax

Practice location:
  • Phone: 585-341-9200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberP143680
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: