NPIMap

Organization Active NPI

Physical Therapy Associates of Schenectady, P.C.

  • Physical Therapist
  • West Sand Lake, NY
National Provider Identifier
1124101977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 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
Last updated
Aug 22, 2020By the provider in NPPES
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
Thomas Cooney, MS, PTNPI 1821056342
Title
Physical Therapist Owner
Phone
(518) 674-1744

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 Therapist 225100000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Physical Ther Ascschenectady6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124101977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "WEST SAND LAKE",
            "state": "NY",
            "postal_code": "121960387",
            "telephone_number": "518-374-1744",
            "fax_number": "518-374-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MALL",
            "city": "WEST SAND LAKE",
            "state": "NY",
            "postal_code": "121960387",
            "telephone_number": "518-374-1744",
            "fax_number": "518-374-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST   OWNER",
        "authorized_official_telephone_number": "518-674-1744",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sand Lake, 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.