Lesley Anne Mack (NPI# 1346605953, PAC ID# 5698050797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1346605953 |
| PAC ID by PECOS | 5698050797 |
| Professional Enrollment ID | I20170331000498 |
| Full Name | Lesley Anne Mack |
| Organization Legal Name | FAIRPORT PHYSICAL THERAPY, PC |
| Address |
59 Perinton Hills Shopping Ctr Fairport NY 14450 |
| Phone Number | 5853850444 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8224203021 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 | 5853850444 | FAIRPORT PHYSICAL THERAPY, PC |
| Organization Legal Name | FAIRPORT PHYSICAL THERAPY, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Stoutenburg | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Kellen Richard Rotach | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Street Address |
59 PERINTON HILLS SHOPPING CTR |
| City | FAIRPORT |
| State | NY |
| Zip | 14450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Stoutenburg | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Kellen Richard Rotach | Physical Therapy | Fairport Physical Therapy, PC | 59 Perinton Hills Shopping Ctr, Fairport, NY 14450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rena D Pine | Internal Medicine | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
| Shannon L Oliverio | Nurse Practitioner | St. John's Penfield Homes Corporation | 65 -75 Sonoma Dr, Fairport, NY 14450-1064 |
| Melissa A Pullin | Nurse Practitioner | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | |
| Ralph Saverio Viola | Ophthalmology | 1157 Fairport Rd, Suite 201, Fairport, NY 14450-1237 | |
| Benjamin A Caruso | Chiropractic | 1157 Fairport Rd, Fairport, NY 14450-1237 | |
| Dewey T Jackson | Internal Medicine | 2828 Baird Rd, Fairport, NY 14450-1247 | |
| Joseph G Diprima | Podiatry | 2828 Baird Rd, Suite B, Fairport, NY 14450-1247 | |
| Erin M Thompson | Clinical Social Worker | 6 N Main St, Fairport, NY 14450-1524 | |
| Barbara J Norton | Clinical Social Worker | 6 N Main St, Fairport, NY 14450-1524 | |
| Diane L Garman | Chiropractic | 142 Fairport Village Lndg, Fairport, NY 14450-1804 | |
| Find all physicians in zip 14450 | |||
| City | FAIRPORT |
| Zip Code | 14450 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FAIRPORT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Lesley Anne Mack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.