Healthcare Provider Details

I. General information

NPI: 1346033495
Provider Name (Legal Business Name): CHRISTOPHER CHARLES NUGENT PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 WINTON RD S
ROCHESTER NY
14618-3998
US

IV. Provider business mailing address

2021 WINTON RD S
ROCHESTER NY
14618-3998
US

V. Phone/Fax

Practice location:
  • Phone: 585-784-6531
  • Fax: 585-341-2430
Mailing address:
  • Phone: 585-784-6531
  • Fax: 585-341-2430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number014481-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: