Healthcare Provider Details

I. General information

NPI: 1609918762
Provider Name (Legal Business Name): BECKY C. ORSINI P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 E HENRIETTA RD STE 500
ROCHESTER NY
14623-2655
US

IV. Provider business mailing address

32 S RIDGE TRL
FAIRPORT NY
14450-3840
US

V. Phone/Fax

Practice location:
  • Phone: 585-427-7610
  • Fax: 585-427-7410
Mailing address:
  • Phone: 585-278-4484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number008234-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: