Healthcare Provider Details

I. General information

NPI: 1003928755
Provider Name (Legal Business Name): SHUMAN PHYSICAL THERAPY ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 WHITE SPRUCE BLVD
ROCHESTER NY
14623-1603
US

IV. Provider business mailing address

PO BOX 725
MENDON NY
14506-0725
US

V. Phone/Fax

Practice location:
  • Phone: 585-442-6067
  • Fax: 585-442-6073
Mailing address:
  • Phone: 585-582-6092
  • Fax: 585-582-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CYNTHIA SHUMAN
Title or Position: PRESIDENT/OWNER/PHYSICAL THERAPIST
Credential: PT
Phone: 585-582-6092