Provider Demographics
NPI:1700475035
Name:ROC PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:ROC PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, SCS
Authorized Official - Phone:585-484-0005
Mailing Address - Street 1:1225 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-7614
Mailing Address - Country:US
Mailing Address - Phone:585-484-0005
Mailing Address - Fax:585-495-2353
Practice Address - Street 1:1225 ATLANTIC AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-7614
Practice Address - Country:US
Practice Address - Phone:585-484-0005
Practice Address - Fax:585-495-2353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy