Provider Demographics
NPI:1548200710
Name:NAPIERALA, MICHAEL ROBERT (PT, SCS, CSCS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ROBERT
Last Name:NAPIERALA
Suffix:
Gender:M
Credentials:PT, SCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NOB HILL
Mailing Address - Street 2:
Mailing Address - City:IRONDEQUOIT
Mailing Address - State:NY
Mailing Address - Zip Code:14617
Mailing Address - Country:US
Mailing Address - Phone:585-621-8449
Mailing Address - Fax:
Practice Address - Street 1:161 E COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-1726
Practice Address - Country:US
Practice Address - Phone:585-218-0240
Practice Address - Fax:585-218-0245
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010150225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA0485Medicare PIN
NYRA6003Medicare UPIN