Healthcare Provider Details

I. General information

NPI: 1427352004
Provider Name (Legal Business Name): CATHLYN CORRADO PT, DPT, PCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHLYN TROSKOSKY PT, DPT

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 07/27/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 LAC DE VILLE BLVD
ROCHESTER NY
14618-5647
US

IV. Provider business mailing address

4901 LAC DE VILLE BLVD
ROCHESTER NY
14618-5647
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-5321
  • Fax:
Mailing address:
  • Phone: 585-341-9129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01502200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number033137-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: