Active NPI
Thomas Nicolla
- Physical Therapist
- Albany, NY
National Provider Identifier
1154500387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- THOMAS NICOLLA
- Practice address
- 400 Patroon Creek Blvd
Suite 107
Albany, NY 12206-5013 - Phone
- (518) 935-2314
- Fax
- (518) 935-2316
- NPI assigned
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Nicolla
- Title
- Owner
- Phone
- (518) 786-1667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
400 Patroon Creek Blvd
Suite 107
Albany, NY 12206-5013
Mailing address
711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442
Phone (518) 786-1667
Other names 1
- Nicolla Center for Oncology Rehabilitation
National Provider Directory
National Provider Directory- Tax ID family
- Nicolla Center for Oncology Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- East Greenbush, NY
- NPI 1407042484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1154500387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD",
"address_2": "SUITE 209",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442",
"telephone_number": "518-786-1667",
"fax_number": "518-786-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD",
"address_2": "SUITE 107",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065013",
"telephone_number": "518-935-2314",
"fax_number": "518-935-2316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS NICOLLA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "NICOLLA",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-786-1667"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nicolla Center for Oncology Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.