NPIMap

Organization Active NPI

Maccio Physcial Therapy PLLC

  • Physical Therapy Clinic/Center
  • Troy, NY
National Provider Identifier
1093705535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MACCIO PHYSCIAL THERAPY PLLC
Practice address
1 New Hampshire Ave
Troy, NY 12180-1754
Phone
(518) 273-2121
Fax
(518) 273-0701
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph G Maccio, MA PT DPMDTNPI 1942290945
Title
Member PLLC Owner
Phone
(518) 273-2121

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1 New Hampshire Ave
Troy, NY 12180-1754

Mailing address

1 New Hampshire Ave
Troy, NY 12180-1754
Phone (518) 273-2121

Other names 1

  • Joseph Maccio Physical Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000803 NY Part B Supplier - Clinic/Group Practice 8325080286 Receives reassigned benefits from 7 practitioners
Practice locations: Troy, NY

National Provider Directory

National Provider Directory

Locations

1 New Hampshire Ave
Troy, NY 12180
Phone (518) 273-2121

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093705535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NEW HAMPSHIRE AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801754",
            "telephone_number": "518-273-2121",
            "fax_number": "518-273-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEW HAMPSHIRE AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801754",
            "telephone_number": "518-273-2121",
            "fax_number": "518-273-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACCIO PHYSCIAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACCIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER PLLC OWNER",
        "authorized_official_telephone_number": "518-273-2121",
        "authorized_official_credential": "MA PT DPMDT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph Maccio Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.