MEDICARE: VIRTUAL MECHANICAL PHYSICAL THERAPY, PLLC

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1285443697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRTUAL MECHANICAL PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	3153 COUNTY ROAD 40
Second Line	:
City	:	BLOOMFIELD
State	:	NY
Zip	:	14469-9363
Country	:	US
Telephone Number	:	585-880-5647
Fax Number	:

Provider Business Practice Location Address
First Line	:	3153 COUNTY ROAD 40
Second Line	:
City	:	BLOOMFIELD
State	:	NY
Zip	:	14469-9363
Country	:	US
Telephone Number	:	585-880-5647
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/MEMBER
Name	:	MRS. MICHELLE A. WESTLAKE
Credential	:	MPT
Telephone Number	:	585-880-5647

Provider Enumeration Date	:	01/01/2025
Last Update Date	:	12/30/2025

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