Irene Somerville, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

476 N Greenbush Rd Ste 3
Rensselaer, NY 12144-9424

Phone

(518) 326-3771

Fax

(518) 776-1070

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: irene.somerville.1@27580.direct.athenahealth.com

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.

• Green Room Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Troy, NY
  • NPI 1083154132

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1023598992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 N GREENBUSH RD STE 3",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449424",
            "telephone_number": "518-326-3771",
            "fax_number": "518-776-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 N GREENBUSH RD STE 3",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449424",
            "telephone_number": "518-326-3771",
            "fax_number": "518-776-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVILLE",
        "first_name": "IRENE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid Skopas, LCSW
• James T. Slade, D.D.S.
• Chantel Patrice Smith
• Juli Smith
• Tynia Smith
• Sarria Soto
• Southeastern Health Care, LLC
• Arleen Springer
• St. Peter'S Health Partners Medical Associates, P.C.
• St. Peter'S Health Partners Medical Associates, P.C.

• Physical Therapist in Rensselaer, NY
• Providers in Rensselaer, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.