Provider Demographics
NPI:1447392170
Name:SHUMAN PHYSICAL THERAPY
Entity type:Organization
Organization Name:SHUMAN PHYSICAL THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
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:585-851-9987
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:NY
Mailing Address - Zip Code:14506-0664
Mailing Address - Country:US
Mailing Address - Phone:585-851-9987
Mailing Address - Fax:866-299-5675
Practice Address - Street 1:349 W COMMERCIAL ST
Practice Address - Street 2:SUITE 1275
Practice Address - City:E ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2407
Practice Address - Country:US
Practice Address - Phone:585-264-0370
Practice Address - Fax:585-264-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty