Organization Active NPI

Keystone Physical Therapy, PLLC

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1053021063
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KEYSTONE PHYSICAL THERAPY, PLLC
Practice address
12 Metro Park Rd Ste 208
Albany, NY 12205-1139
Phone
(518) 304-6006
Fax
(518) 304-6006
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Carin Elizabeth Cappadocia, PT, DPTNPI 1194004440
Title
Owner, Specialist
Phone
(518) 573-3971

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12 Metro Park Rd Ste 208
Albany, NY 12205-1139

Mailing address

26 Lori Jean PL
Troy, NY 12182-2449
Phone (518) 573-3971

National Provider Directory

National Provider Directory

Locations

12 Metro Park Rd
Ste 208
Albany, NY 12205
Phone (518) 288-8318

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1053021063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LORI JEAN PL",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121822449",
            "telephone_number": "518-573-3971",
            "fax_number": "518-304-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 METRO PARK RD STE 208",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051139",
            "telephone_number": "518-304-6006",
            "fax_number": "518-304-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "CAPPADOCIA",
        "authorized_official_first_name": "CARIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, SPECIALIST",
        "authorized_official_telephone_number": "518-573-3971",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 30, 2022; 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.