Active NPI
Samantha Scanu Lauzon, PT, DPT, CSCS
- Physical Therapist
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044989
- Practice address
- 1367 Washington Ave Ste 100
Albany, NY 12206-1043 - Phone
- (518) 786-1667
- NPI assigned
- Sep 27, 2019
- 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 | 044989 | NY | Primary |
Addresses
Primary practice location
1367 Washington Ave Ste 100
Albany, NY 12206-1043
Mailing address
711 Troy Schenectady Rd Ste 209
Latham, NY 12110-2481
Phone (518) 786-1667
Other practice location 1
301 Manchester Rd Ste 101
Poughkeepsie, NY 12603-2587
Phone (845) 454-4137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07077172 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.nicollatherapy.com/ |
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, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicolla and Associates, PT & OT Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Thomas Nicolla Consulting Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Access PT, OT, New York, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1367 Washington Ave
Ste 100
Albany, NY 12206
Phone (518) 438-7926
747 Madison Ave
Ste 1
Albany, NY 12208
Phone (518) 443-2279
111 E 210th St
Bronx, NY 10467
16 Maybrook Rd
Ste L
Campbell Hall, NY 10916
111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590
711 Troy Schenectady Rd
Ste 209
Latham, NY 12110
Phone (518) 786-1667
14 Thiells Mount Ivy Rd
Ste 2
Pomona, NY 10970
Phone (845) 694-8808
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Physical Therapist
- New City, NY
- NPI 1831539493
-
- Specialist
- Latham, NY
- NPI 1487633152
Physical Therapist
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapist
- Stamford, NY
- NPI 1770636060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1366093551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 209",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102481",
"telephone_number": "518-786-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1367 WASHINGTON AVE STE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061043",
"telephone_number": "518-786-1667"
}
],
"practiceLocations": [
{
"address_1": "301 Manchester Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126032587",
"country_code": "US",
"telephone_number": "845-454-4137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUZON",
"first_name": "SAMANTHA",
"middle_name": "SCANU",
"name_prefix": "Dr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2024-01-26",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07077172",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.nicollatherapy.com/",
"affiliation": "N",
"address_1": "1367 Washington Ave Ste 100",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122061043",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 26, 2024; 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.