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MARY M REYNGOUDT
NPI 1215588322
Specialist in Fairport, NY

Active since September 20, 2019
149 N MAIN ST, FAIRPORT, NY 14450(585) 377-2230(585) 377-2243 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary M Reyngoudt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY M REYNGOUDT (NPI 1215588322) is an individual specialist in Fairport, New York and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1215588322
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARY M REYNGOUDT
Location Address149 N MAIN STFairport, NY 14450-1434
Mailing Address71 Gilman RdChurchville, NY 14428-9325 · (585) 530-0515
Phone(585) 377-2230
Fax(585) 377-2243
Sole ProprietorYes
Enumeration DateSeptember 20, 2019
✔ NPI 1215588322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
149 N MAIN ST, Fairport, NY 14450
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN GUSTAVSON M.S., CCC-SLP
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
AMY COLIN DPT
Physical Therapist (Pediatrics)
149 N MAIN ST, BRIGHT START PEDIATRIC SERVICES
FAIRPORT, NY 14450
Monroe County (585) 377-2230
JACLYN R QUINTERO PTA
Physical Therapy Assistant
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MRS. SUZANNE KAHN M.S.ED.
Specialist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MELODY MOORE PTA
Physical Therapy Assistant
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
DIANE MARIE MOULTON MSED
Specialist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
SUE GABRIELLE GARBIN
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230
MRS. JENNIFER KEENAN SLP
Speech-Language Pathologist
149 N MAIN ST
FAIRPORT, NY 14450
Monroe County (585) 377-2230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Reyngoudt's NPI number?

The NPI number for Mary Reyngoudt is 1215588322. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Mary Reyngoudt located?

Mary Reyngoudt practices at 149 N Main St, Fairport, NY 14450. The listed phone number is (585) 377-2230.

What is Mary Reyngoudt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Reyngoudt was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.