Healthcare Provider Details

I. General information

NPI: 1114268265
Provider Name (Legal Business Name): SHUMAN PHYSICAL THERAPY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2013
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FISHER RD
ROCHESTER NY
14624-3444
US

IV. Provider business mailing address

PO BOX 664
MENDON NY
14506-0664
US

V. Phone/Fax

Practice location:
  • Phone: 585-247-0270
  • Fax: 585-247-0275
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: CYNTHIA SHUMAN
Title or Position: PRESIDENT/PHYSICAL THERAPY
Credential: PT
Phone: 585-851-9987