Healthcare Provider Details

I. General information

NPI: 1952818361
Provider Name (Legal Business Name): SHUMAN PHYSICAL THERAPY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER NY
14623-2716
US

IV. Provider business mailing address

PO BOX 664
MENDON NY
14506-0664
US

V. Phone/Fax

Practice location:
  • Phone: 585-272-0188
  • Fax: 585-424-3789
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CAROL WHITBOURNE
Title or Position: OFFICE MANAGER
Credential:
Phone: 585-851-9987