Provider Demographics
NPI:1912374448
Name:BROWNSTONE PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:BROWNSTONE PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:315-986-4655
Mailing Address - Street 1:235 FAIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-1919
Mailing Address - Country:US
Mailing Address - Phone:518-258-8631
Mailing Address - Fax:
Practice Address - Street 1:1900 ROUTE 31 STE 12
Practice Address - Street 2:
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502-8943
Practice Address - Country:US
Practice Address - Phone:315-986-4655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty