Active NPI
Robert Allen Canterbury IV, DPT
- Physical Therapist
- Albany, NY
National Provider Identifier
1073355749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049396-01
- Practice address
- 43 New Scotland Ave
Albany, NY 12208-3478 - Phone
- (518) 262-3291
- NPI assigned
- Jun 12, 2024
- Last updated
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049396-01 | NY | Primary |
Addresses
Primary practice location
43 New Scotland Ave
Albany, NY 12208-3478
Mailing address
53 Gloucester St
Clifton Park, NY 12065-1640
Phone (518) 420-3091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049396-01 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1073355749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 GLOUCESTER ST",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651640",
"telephone_number": "518-420-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083478",
"telephone_number": "518-262-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTERBURY",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049396-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
- Jacquelyn Canning, PHARM.D.
- Jessica Cannistraro Lillard, D.C.
- Abbie Cannon-Bailey
- Barbara Emily Cannon, MA, LMHC
- Orlando Luis Cano Jr., M.D.
- Melissa Capalbo, RN
- Cape Coral Emergency Physicians LLC
- Capital Area Hudson Valley New York Dental PC (1st Advantage Dental - Colonie)
- Capital Cardiology Associates PLLC
- Capital City Gospel Mission Free Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.