Provider Demographics
NPI:1821564832
Name:NGH PHYSICAL THERAPY ASSOCIATES, PC
Entity Type:Organization
Organization Name:NGH PHYSICAL THERAPY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:585-737-0979
Mailing Address - Street 1:515 LONG POND RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3005
Mailing Address - Country:US
Mailing Address - Phone:585-227-2310
Mailing Address - Fax:585-227-2312
Practice Address - Street 1:2008 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-4361
Practice Address - Country:US
Practice Address - Phone:585-467-1420
Practice Address - Fax:585-467-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty