Physical Therapy Associates of Schenectady, P.C.
Organization Active NPI Physical Therapist · West Sand Lake, NY
NPI 1124101977 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124101977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY, P.C.
- Practice address
- 43 Mall
West Sand Lake, NY 12196-0387 - Phone
- (518) 374-1744
- Fax
- (518) 374-1774
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas Cooney, MS, PT
- Title
- Physical Therapist Owner
- Phone
- (518) 674-1744
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 5
Practitioners 12
-
Thomas Joseph Houghtalen, DPT, MTC
-
Heather Lynne Fassell, MS,PT, DPT
-
Christopher James Magil, DPT, MS, PT
-
Traci Lynn Sarabia, MSPT
-
Jeffrey Todd Stewart, P.T.
-
Mark Van Leuven, PT
-
Jenna Anne Dempsey, MPT
-
Jhansi Mitra-Chakraborty, PT, MA, MHA
-
Kirk Stewart, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000464 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9032013420 |
Receives reassigned benefits from 18 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Amsterdam, NY; Schenectady, NY; Scotia, NY; West Sand Lake, NY |
National Provider Directory
- Tax ID family
- Physical Ther Ascschenectady
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
43 Mall
West Sand Lake, NY 12196-0387
Mailing address
PO Box 387
West Sand Lake, NY 12196-0387
Phone (518) 374-1744
Other providers in West Sand Lake, NY
- Montefiore Medical Center
- Kimberly Mousseau-Young
- Lauren Nunziato
- Sarah Owens
- Jan Pedersen
- Rite Aid of New York Inc
- Sand Lake Ambulance, Inc.
- Alex D Sherman
- Deborah Jean Simard
- Meghan Sullivan
All providers in West Sand Lake, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.