CHAD G CONDIDORIO (NPI# 1326684200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326684200 |
Entity Type | Individual |
Full Name | CHAD G CONDIDORIO |
Credential | DPT |
Practice Address |
4901 Lac De Ville Blvd Rochester NY 14618-5647 |
Practice Telephone | 5853419149 |
Mailing Telephone | 5853419149 |
Enumeration Date | 2019-11-26 |
Last Update Date | 2019-11-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
037253 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4901 LAC DE VILLE BLVD |
City | ROCHESTER |
State | NY |
Zip Code | 14618-5647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144262551 | University Medical Imaging PC | Radiology | 4901 Lac De Ville Blvd, Suite 140, Rochester, NY 14618-5647 | 2006-06-11 |
1255932620 | Austin John Coppola | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-11-03 |
1669072864 | Megan Bessel | Physician Assistant | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-10-27 |
1598364291 | Katherine E. Lamb | Nurse Practitioner | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-10-22 |
1295333961 | Rochelle Helvey | Specialist/Technologist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-10-14 |
1144838194 | Paige Elizabeth Harrington | Nurse Practitioner | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2020-07-15 |
1497393284 | Jake Keller | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2019-12-12 |
1386281236 | Kristen Rebecca Petrushesky | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2019-12-10 |
1952948028 | Caleb Miraglia | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2019-12-07 |
1992342216 | Patrick Barber | Physical Therapist | 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 | 2019-12-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
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Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194028613 | Jeremy Peters | Physical Therapist | 4901 Lac De Ville Blvd # D-110, Rochester, NY 14618-5647 | 2010-12-06 |
1619279783 | Michael Leblanc | Physical Therapist | 10 South Pointe Lndg, Suite 100, Rochester, NY 14606-3481 | 2010-11-23 |
1942484076 | Shawn Giebner | Physical Therapist | 4901 Lac Deville Blvd., Building D Suite 110, Rochester, NY 14618 | 2007-12-26 |
1245414408 | Christopher Ryan Blankenberg | Physical Therapist | 4901 Lac Deville Blvd, Suite 110, Building D, Rochester, NY 14618 | 2007-12-24 |
1235311218 | Kostantinos Vasalos | Physical Therapist | 4901 Lacdeville Blvd, Building D Suite 110, Rochester, NY 14618-5647 | 2007-11-30 |
1629302393 | Adam Dalton | Physical Therapist | 4901 Lac De Ville Blvd, Building D, Suite 110, Rochester, NY 14618-5647 | 2009-09-28 |
1801074828 | Joan Marie Kopacz | Physical Therapist | 3100 19th St Nw, Suite 200, Rochester, MN 55901-6606 | 2008-01-31 |
1942237979 | Andrew Thomas Duncan | Physical Therapist | 4901 Lac De Ville Blvd, Bldg D, Suite 110, Rochester, NY 14618-5647 | 2006-06-26 |
1336126556 | Timothy J Mc Lean | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902412711 | Nicole Erin | Physical Therapist | 780 8th Ave Ste 300, New York, NY 10036-7000 | 2020-09-17 |
1457983405 | Set Physical Therapy Pllc | Physical Therapist | 211 E 43rd St Rm 1101, New York, NY 10017-4769 | 2020-02-07 |
1750929725 | Rock Pt Rehab | Physical Therapist | 16 E 48th St # 6f, New York, NY 10017-1017 | 2019-12-20 |
1821642109 | Seguia & Eleazar Physical Therapy Pllc | Physical Therapist | 403 E 91st St Fl 4, New York, NY 10128-6800 | 2019-07-25 |
1942853981 | Precision Physical Therapy and Sports Medicine Pllc | Physical Therapist | 1469 State Route 7, Richmondville, NY 12149 | 2019-07-18 |
1982260915 | Celebi & Smith Pt Pllc | Physical Therapist | 50 Austin Blvd, Commack, NY 11725-5723 | 2019-05-15 |
1760962062 | Michael James Hannett | Physical Therapist | 278 W 81st St, New York, NY 10024-5728 | 2018-08-16 |
1770079550 | Suarez Sport & Orthopedic Physical Therapy Pllc | Physical Therapist | 201 Beryl Way, Watervliet, NY 12189-2970 | 2018-07-05 |
1992254585 | Maurizio A Llin Pt PC | Physical Therapist | 4029 168th St, Flushing, NY 11358-2630 | 2016-09-24 |
1831558139 | Derek Mansfield | Physical Therapist | 145 Palisade St Ste 200, Dobbs Ferry, NY 10522 | 2016-02-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.