Individual provider Active NPI

Mollie Beth Dambrocia, PT

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1043366271
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024641 Issued in NY
Practice address
394 Quail St
Albany, NY 12208-3234
Phone
(518) 221-6791
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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 024641 NY Primary

Addresses

Primary practice location

394 Quail St
Albany, NY 12208-3234

Mailing address

51 Simmie LN
Voorheesville, NY 12186-4853
Phone (518) 221-6791

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdambrocia@newscotlandpt.com
Direct Messaging Address mdambrocia@newscotlandpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000891 NY Practitioner - Physical Therapist in Private Practice 3678759479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Scotland Physical Therapy, LLCGroup PAC ID 0840462594, 2 clinicians

Practice addresses (Care Compare)

1944 B New Scotland Rd
Slingerlands, NY 12159-3629
Phone (518) 621-7305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Scotland Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2011 Accepting new patients

Locations

1944 New Scotland Rd
#B
Slingerlands, NY 12159
Phone (518) 621-7305

1969 New Scotland Rd
Ste 8
Slingerlands, NY 12159
Phone (518) 221-6791

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1043366271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SIMMIE LN",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121864853",
            "telephone_number": "518-221-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 QUAIL ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083234",
            "telephone_number": "518-221-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBROCIA",
        "first_name": "MOLLIE",
        "middle_name": "BETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdambrocia@newscotlandpt.com",
            "affiliation": "N",
            "address_1": "51 Simmie Ln",
            "city": "Voorheesville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121864853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdambrocia@newscotlandpt.com",
            "affiliation": "N",
            "address_1": "51 Simmie Ln",
            "city": "Voorheesville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121864853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.