Individual provider Active NPI

Mary Spratt, PA

  • Physician Assistant
  • Altamont, NY
National Provider Identifier
1124028451
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008589 Issued in NY
Practice address
2508 Western Ave
Altamont, NY 12009-9485
Phone
(518) 690-0177
Fax
(518) 690-0169
NPI assigned
Jul 28, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008589 NY Primary

Addresses

Primary practice location

2508 Western Ave
Altamont, NY 12009-9485

Mailing address

PO Box 9312
C/O Theta Pattison MD
Schenectady, NY 12309-0312
Phone (518) 690-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000598 NY Practitioner - Physician Assistant 1850466087

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008589NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Theta Pattison MD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mary.spratt@schweigerderm.emadirect.md

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, 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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124028451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9312",
            "address_2": "C/O THETA PATTISON MD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123090312",
            "telephone_number": "518-690-0177",
            "fax_number": "518-690-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WESTERN AVE",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120099485",
            "telephone_number": "518-690-0177",
            "fax_number": "518-690-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATT",
        "first_name": "MARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamont, NY

Sources for this page

Verify at the official NPI Registry.