Organization Active NPI

Adirondack Physical Therapy and Fitness, PLLC

  • Physical Therapist
  • Warrensburg, NY
National Provider Identifier
1023229200
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011669 Issued in NY
Legal business name
ADIRONDACK PHYSICAL THERAPY AND FITNESS, PLLC
Practice address
3971 Main St
Warrensburg, NY 12885-1152
Phone
(518) 623-2888
Fax
(518) 430-0088
NPI assigned
May 27, 2007
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Mrs. Natalie Jean Barber, P.T.NPI 1215019989
Title
Direct Owner
Phone
(518) 623-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011669 NY Primary

Addresses

Primary practice location

3971 Main St
Warrensburg, NY 12885-1152

Mailing address

PO Box 762
Warrensburg, NY 12885-0762
Phone (518) 623-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000073 NY Part B Supplier - Clinic/Group Practice 0446344527 Receives reassigned benefits from 4 practitioners
Practice locations: Warrensburg, NY

National Provider Directory

National Provider Directory

Locations

3971 Main St
Warrensburg, NY 12885
Phone (518) 623-2888

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1023229200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128850762",
            "telephone_number": "518-623-2888",
            "fax_number": "518-430-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 MAIN ST",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851152",
            "telephone_number": "518-623-2888",
            "fax_number": "518-430-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK PHYSICAL THERAPY AND FITNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "518-623-2888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.