Individual provider Active NPI

Richard J. Waite, PT, DPT

  • Physical Therapist
  • Latham, NY
National Provider Identifier
1033198148
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012460 Issued in NY
Practice address
250 Old Loudon Rd
Latham, NY 12110-2909
Phone
(518) 489-2020
NPI assigned
Jan 17, 2006
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 012460 NY Primary

Addresses

Primary practice location

250 Old Loudon Rd
Latham, NY 12110-2909

Mailing address

250 Old Loudon Rd
Latham, NY 12110-2909
Phone (518) 489-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000308 NY Practitioner - Physical Therapist in Private Practice 5294787818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Old Loudon Rd
Latham, NY 12110-2909
Phone (518) 489-2020

Merit-based Incentive Payment System (MIPS)

Final score
26.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0124601NYMDPsychologist
012460NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
R.J.N. Physical Therapy P.L.L.C. Physical Therapist CurrentSince Feb 16, 2001 Accepting new patients

Locations

22 Picotte Dr
Albany, NY 12208
Phone (518) 489-0001

3 Atrium Dr
Ste 110
Albany, NY 12205
Phone (518) 482-1748

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1033198148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OLD LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102909",
            "telephone_number": "518-489-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102909",
            "telephone_number": "518-489-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012460",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.