Brunswick Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BRUNSWICK PHYSICAL THERAPY PLLC

Practice address

4164 Ny2
Cropseyville, NY 12052

Phone

(518) 788-4567

Fax

(518) 272-3911

NPI assigned

Mar 5, 2009

Last updated

May 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Henry St.Germain II, PTNPI 1134202716

Title

Owner

Phone

(518) 788-4567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter St. Germain, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Cropseyville, NY
  • NPI 1134202716
  Medicare reassignment Care Compare group Authorized official
• Robert Edward Delamater Jr., PT, DPT

  • Physical Therapist
  • Troy, NY
  • NPI 1235857889
  Medicare reassignment Care Compare group NPD
• Rebecca A Tomisman, PT

  • Specialist
  • Albany, NY
  • NPI 1669629267
  Medicare reassignment Care Compare group NPD
• Rebecca V Kane, P.T.

  • Physical Therapist
  • Troy, NY
  • NPI 1255317764
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1013157874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 NY2",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-788-4567",
            "fax_number": "518-272-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 NY2",
            "city": "CROPSEYVILLE",
            "state": "NY",
            "postal_code": "12052",
            "telephone_number": "518-788-4567",
            "fax_number": "518-272-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "ST.GERMAIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-788-4567",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Care Physicians, PC (Partner's in Family Medicine)
• Robert Marshall
• Paul Menge
• Susan P Opar, MD
• Richard Orsi

• Physical Therapy Clinic/Center in Cropseyville, NY
• Providers in Cropseyville, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.