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NPI Code Detail

MEDICARE: REBECCA A ADRID MPT

MEDICARE: REBECCA A ADRID MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist028014NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130013744OTHERPAKEYSTONE MERCY HEALTH PLA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31370736OTHERPABLUE CROSS BLUE SHIELD
42425769OTHERPAUNITED HEALTHCARE

General Provider Information

NPI Number : 1205840717
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA A ADRID MPT
Provider Business Mailing Address
First Line : 41 OCONNOR RD
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-1327
Country : US
Telephone Number : 585-383-2216
Fax Number :
Provider Business Practice Location Address
First Line : 41 OCONNOR RD
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-1327
Country : US
Telephone Number : 585-383-2216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/21/2022

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Directions to “ REBECCA A ADRID MPT” Practice Location

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