Active NPI
Raymon Stephen Webster IV, D.P.T.
- Physical Therapy Clinic/Center
- Albany, NY
National Provider Identifier
1336370683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 037709-01
- Practice address
- 21A Railroad Ave
Unit B
Albany, NY 12205-5931 - Phone
- (518) 650-6962
- NPI assigned
- Aug 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 037709-01 | NY | Primary |
Addresses
Primary practice location
21A Railroad Ave
Unit B
Albany, NY 12205-5931
Mailing address
21A Railroad Ave
Unit B
Albany, NY 12205-5931
Phone (518) 650-6962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Pine W PLZ
Suite 112
Albany, NY 12205-5531
Phone (518) 925-6116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037709-01 | NY | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Motion Physical Therapy, PLLC | Single Specialty | Current | Accepting new patients |
Locations
1 Pine West Plz
Ste 112
Albany, NY 12205
Phone (518) 925-6116
21A Railroad Ave
Ste B
Colonie, NY 12205
Phone (518) 650-6962
Organizations & group practices 1
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
- Albany, NY
- NPI 1427545573
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1336370683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21A RAILROAD AVE",
"address_2": "UNIT B",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055931",
"telephone_number": "518-650-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21A RAILROAD AVE",
"address_2": "UNIT B",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055931",
"telephone_number": "518-650-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "RAYMON",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-04",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "037709-01",
"primary": true
}
],
"identifiers": [],
"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 Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.