=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336031228
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALLISON HINISH DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2025
-----------------------------------------------------
Last Update Date | 07/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 699 S MAIN ST
-----------------------------------------------------
City | CANANDAIGUA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14424-2208
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 158-539-6605
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 TRAILS EDGE DR APT 203
-----------------------------------------------------
City | WEST HENRIETTA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14586-9214
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-480-2807
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 054392
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------