Schuylerville Physical Therapy PC
Organization Active NPI Physical Therapist · Schuylerville, NY
NPI 1124367651 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1124367651
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 023991-1 (NY)
- Legal business name
- SCHUYLERVILLE PHYSICAL THERAPY PC
- Practice address
- 43 Spring St
Schuylerville, NY 12871-1014 - Phone
- (518) 595-9471
- NPI assigned
- Feb 4, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey B Fear, MPT
- Title
- Owner
- Phone
- (518) 727-2096
Practitioners 3
-
Brittany Denton, DPT
-
Jeffrey Brian Fear, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130708000257 | NY | Part B Supplier - Clinic/Group Practice | 4183864549 |
Receives reassigned benefits from 3 practitioners Practice locations: Schuylerville, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 023991-1 | NY | Yes |
Addresses
Primary practice location
43 Spring St
Schuylerville, NY 12871-1014
Mailing address
43 Spring St
Schuylerville, NY 12871-1014
Phone (518) 595-9471
Other providers in Schuylerville, NY
- Charity Jacqueline Rushinski
- Saratoga Hospital
- Saratoga Hospital
- Schuyler Labs Inc
- Schuylerville Central School
- Gayle Slattery
- Amy Marie Solan
- Rebecca Rose Stanislowsky
- Michele V Talbot
- Ellen Marie Timmes - Grab
All providers in Schuylerville, 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 Jun 28, 2013. 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.