Healthcare Provider Details

I. General information

NPI: 1831541622
Provider Name (Legal Business Name): FINGER LAKES THERAPY WORKS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LYELL AVE STE 102
ROCHESTER NY
14606-5743
US

IV. Provider business mailing address

210 CLIFTON SPRINGS PROFESSIONAL PARK
CLIFTON SPRINGS NY
14432-1041
US

V. Phone/Fax

Practice location:
  • Phone: 585-563-6060
  • Fax: 585-426-4031
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TAMMY KORPIEL
Title or Position: PRESIDENT
Credential:
Phone: 315-462-3588