Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fredonia Physical Therapy, PLLC

Organization Physical Therapist · NPI 1235230343

Fredonia Physical Therapy, PLLC is a Physical Therapist in Fredonia, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12 Brigham Rd
Fredonia, NY 14063-1000
Phone: (716) 679-7447
Fax: (716) 679-7446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 01365-01 (NY)

Record details

NPI number1235230343
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Vincek — Owner · (716) 679-7447
NPI enumeratedSeptember 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12 Brigham Rd, Fredonia, NY 14063-1000

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