Active NPI
Annette Marie Bucci, MSPT, CERT-MDT
- Physical Therapist
- Latham, NY
National Provider Identifier
1306894266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018842-1
- Practice address
- 1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1000 - Phone
- (518) 220-9705
- Fax
- (518) 220-9651
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018842-1 | NY | Primary |
Addresses
Primary practice location
1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1000
Mailing address
42 Saratoga Rd
Scotia, NY 12302-3412
Phone (518) 399-6861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02252160 | Medicaid | NY |
Other names 1
- Annette Marie Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18842 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 018842 | NY | MD | Cognitive & Behavioral Psychologist |
| 018842-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Schenectady, PC | Physical Therapist | Current | Accepting new patients |
| Sports Therapy Albany P.T, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
220 Church Ave
Ballston Spa, NY 12020
Phone (518) 399-0062
1182 Troy Schenectady Rd
Ste LL02
Latham, NY 12110
Phone (518) 220-9705
42 Saratoga Rd
Scotia, NY 12302
Phone (518) 399-6861
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Scotia, NY
- NPI 1669553376
-
- Physical Therapist
- Amsterdam, NY
- NPI 1326129081
-
- Physical Therapist
- Ballston Spa, NY
- NPI 1225346448
-
- Physical Therapist
- Albany, NY
- NPI 1063541332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1306894266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 SARATOGA RD",
"city": "SCOTIA",
"state": "NY",
"postal_code": "123023412",
"telephone_number": "518-399-6861",
"fax_number": "518-399-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 TROY SCHENECTADY RD",
"address_2": "SUITE LL02",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101000",
"telephone_number": "518-220-9705",
"fax_number": "518-220-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCCI",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"credential": "MSPT, CERT-MDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018842-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02252160",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "SMITH",
"middle_name": "MARIE",
"credential": "MSPT, CERT-MDT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.