Provider Demographics
NPI:1386683449
Name:NORTON, CYNTHIA JEAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JEAN
Last Name:NORTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:JEAN
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 OLEAN ST
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2513
Mailing Address - Country:US
Mailing Address - Phone:716-652-3127
Mailing Address - Fax:716-652-3128
Practice Address - Street 1:19 OLEAN ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2513
Practice Address - Country:US
Practice Address - Phone:716-652-3127
Practice Address - Fax:716-652-3128
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012495-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY08081302701Medicare UPIN
NY00062345001Medicare UPIN
NY9307527Medicare UPIN