Provider Demographics
NPI:1083079677
Name:NONKES, JESSICA L (PT, OCS)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:NONKES
Suffix:
Gender:F
Credentials:PT, OCS
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:FIRTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-467-1070
Mailing Address - Fax:585-467-2447
Practice Address - Street 1:100 KINGS HWY S
Practice Address - Street 2:SUITE 1000
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-5504
Practice Address - Country:US
Practice Address - Phone:585-467-1070
Practice Address - Fax:585-467-2447
Is Sole Proprietor?:No
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist