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

Ped Physical Disabilities

Organization Neurological Surgery Physician · NPI 1508809872

Ped Physical Disabilities is a Neurological Surgery Physician in Rochester, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

601 Elmwood Ave Box 635
Rochester, NY 14642-0001
Phone: (585) 275-7787
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatric Neurodevelopmental Disabilities Physician Taxonomy 2080P0008X
Urology Physician Taxonomy 208800000X

Record details

NPI number1508809872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Knebel — Billing Manager · (585) 275-7787
NPI enumeratedJune 14, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address601 Elmwood Ave, Box 635, Rochester, NY 14642-0001

Other providers in Rochester