Active NPI
Christopher McAuliff, PT
- Physical Therapist
- Albany, NY
National Provider Identifier
1336338375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029747-1
- Practice address
- 1367 Washington Ave
Albany, NY 12206-1069 - Phone
- (518) 438-7926
- Fax
- (518) 438-8364
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- 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 | 029747-1 | NY | Primary |
Addresses
Primary practice location
1367 Washington Ave
Albany, NY 12206-1069
Mailing address
711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442
Phone (518) 786-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650021313 | Other | NY | RR MEDICARE |
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 |
|---|---|---|---|
| 029747-1 | NY | MD | Physical Therapist |
| 029747 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Health Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Thomas Nicolla Consulting Services, PLLC | Physical Therapist | Past | Accepting new patients |
| Community Physical Therapy & Wellness PC | Physical Therapist | Past | Accepting new patients |
Locations
41 Arterial Plz
Ste 15B
Gloversville, NY 12078
Phone (518) 773-2300
41 Arterial Plz
Gloversville, NY 12078
Phone (518) 775-9554
309 W Montgomery St
Ste 16A
Johnstown, NY 12095
Phone (518) 619-8991
Organizations & group practices 3
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 Therapy Clinic/Center
- Gloversville, NY
- NPI 1144625401
Physical Therapist
-
- Physical Therapist
- Gloversville, NY
- NPI 1083800163
-
- Physical Therapist
- Stamford, NY
- NPI 1770636060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1336338375",
"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": "1367 WASHINGTON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061069",
"telephone_number": "518-438-7926",
"fax_number": "518-438-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAULIFF",
"first_name": "CHRISTOPHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029747-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "650021313",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 25, 2012; 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.