Individual provider Active NPI

Raymon Stephen Webster IV, D.P.T.

  • Physical Therapy Clinic/Center
  • Albany, NY
National Provider Identifier
1336370683
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
037709-01 Issued in NY
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

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/CenterGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20200512003185 NY Practitioner - Physical Therapist in Private Practice 6305277047 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
037709-01NYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Motion Physical Therapy, PLLC Single Specialty CurrentSince Feb 22, 2020 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.

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.

Verify at the official NPI Registry.