Healthcare Provider Details

I. General information

NPI: 1568373462
Provider Name (Legal Business Name): CONNOR GARROD DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 PANORAMA TRL S STE 2
ROCHESTER NY
14625-2311
US

IV. Provider business mailing address

961 PANORAMA TRL S STE 2
ROCHESTER NY
14625-2311
US

V. Phone/Fax

Practice location:
  • Phone: 585-869-5140
  • Fax: 585-869-5142
Mailing address:
  • Phone: 585-869-5140
  • Fax: 585-869-5142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number056374
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: