Individual provider Active NPI

Marianne Elizabeth Vrobel, PT

  • Physical Therapist
  • Latham, NY
National Provider Identifier
1003883489
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0109671 Issued in NY
Practice address
1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1026
Phone
(518) 220-9705
Fax
(518) 220-9651
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0109671 NY Primary

Addresses

Primary practice location

1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1026

Mailing address

1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1026
Phone (518) 220-9705

Other identifiers 5

IdentifierTypeStateIssuer
01700816MedicaidNY
QQ4002OtherBS
000492257014OtherBS
10002120OtherCDPHP
6008746OtherMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10967NYMDMental Health Counselor
0109671NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates of Schenectady, P.C. Physical Therapist Past Accepting new patients
Physical Therapy Associates of Schenectady, P.C. Physical Therapist Past Accepting new patients
Physical Therapy Associates of Schenectady, P.C. Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1003883489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD",
            "address_2": "SUITE LL02",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101026",
            "telephone_number": "518-220-9705",
            "fax_number": "518-220-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD",
            "address_2": "SUITE LL02",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101026",
            "telephone_number": "518-220-9705",
            "fax_number": "518-220-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROBEL",
        "first_name": "MARIANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0109671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01700816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "QQ4002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "000492257014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10002120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "6008746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.