Stephanie Connally, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025475-1 Issued in NY

Practice address

711 Troy Schenectady Rd
Suite 216
Latham, NY 12110-2442

Phone

(518) 786-1665

Fax

(518) 785-0056

NPI assigned

Jan 26, 2006

Last updated

Dec 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Waffle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Therapy Group PT OT SLP and Psychology Services PLLC

  • Physical Medicine & Rehabilitation Physician
  • Clifton Park, NY
  • NPI 1255641510

  Physical Therapist

  NPD (past)
• Nicolla and Associates, PT & OT Services, PLLC

  • Specialist
  • Latham, NY
  • NPI 1487633152

  Physical Therapist

  NPD (past)
• Thomas Nicolla Consulting Services, PLLC

  • Specialist
  • Latham, NY
  • NPI 1992850564
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1356311633",
    "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": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 216",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-786-1665",
            "fax_number": "518-785-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNALLY",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025475-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WAFFLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Community Care Physicians, PLLC (CCP Integrated Behavioral Health)
• Community Care Physicians, PLLC (Community Care Urology - Clifton Park)
• Community Care Physicians, PLLC (Troy Family Physicians of Community Care Physicians)
• Community Care Physicians, PLLC
• Comprehensive MRI of New York, P.C. (Capital Region Upright MRI)
• Connectrx Latham, LLC
• Connectrx Latham, LLC
• Patricia Anne Connolly, R.N.
• Carey Ann Ruth Connors, M.S. CCC - SLP
• Sean Austin Connors, PHARMD, RPH

• Physical Therapist in Latham, NY
• Providers in Latham, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.