Individual provider Active NPI

Jessica Nicole Nutter, DPT

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1093290066
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043606 Issued in NY
Practice address
3 Atrium Dr Ste 110
Albany, NY 12205-1417
Phone
(518) 225-3338
NPI assigned
Sep 26, 2018
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 043606 NY Primary

Addresses

Primary practice location

3 Atrium Dr Ste 110
Albany, NY 12205-1417

Mailing address

121 Everett Rd
Ste 100
Albany, NY 12205-1447
Phone (518) 489-2663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181102000683 NY Practitioner - Physical Therapist in Private Practice 6901159243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
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

State licenses

LicenseStateTypeSpecialty
043606NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedicsny, LLP CurrentSince Oct 1, 2018 Accepting new patients
Orthopedicsny, LLP CurrentSince Oct 1, 2018 Accepting new patients
New Scotland Physical Therapy, LLC Physical Therapist CurrentSince Aug 30, 2022 Accepting new patients

Locations

121 Everett Rd
Ste 100
Albany, NY 12205
Phone 5184539088 ext. 3239

3 Atrium Dr
Albany, NY 12205
Phone (518) 435-1234

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

121 Everett Rd
Colonie, NY 12205

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

Organizations & group practices 3

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1093290066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "address_2": "STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051447",
            "telephone_number": "518-489-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ATRIUM DR STE 110",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051417",
            "telephone_number": "518-225-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043606",
            "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 Oct 11, 2018; 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.