Organization Active NPI

Altamont Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Altamont, NY
National Provider Identifier
1124729488
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALTAMONT PHYSICAL THERAPY PLLC
Practice address
122 Maple Ave
Altamont, NY 12009-7718
Phone
(518) 861-6608
Fax
(518) 861-6573
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Erik J Carman, DPTNPI 1346907847
Title
Physical Therapist/Member
Phone
(518) 526-1431

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

122 Maple Ave
Altamont, NY 12009-7718

Mailing address

PO Box 426
Altamont, NY 12009-0426
Phone (518) 861-6608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230405002209 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264807213 Receives reassigned benefits from 1 practitioner
Practice locations: Altamont, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1124729488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120090426",
            "telephone_number": "518-861-6608",
            "fax_number": "518-861-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAPLE AVE",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120097718",
            "telephone_number": "518-861-6608",
            "fax_number": "518-861-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONT PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "CARMAN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MEMBER",
        "authorized_official_telephone_number": "518-526-1431",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.