Cierra Casale, PT, DPT
Individual provider Active NPI Physical Therapist · Wynantskill, NY
NPI 1376375212 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1376375212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 052559 (NY)
- Practice address
- 86 Main Ave
Wynantskill, NY 12198-7541 - Phone
- (518) 326-0702
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nje PT Movement PLLC
Practice addresses (Care Compare)
506 Campbell Ave
Troy, NY 12180-6243
Phone (518) 203-6761
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917003142 | NY | Practitioner - Physical Therapist in Private Practice | 9335680487 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052559 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nje PT Movement PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
506 Campbell Ave
Troy, NY 12180
Phone (518) 203-6761
290 Speigletown Rd
Troy, NY 12182
Phone (518) 279-2740
86 Main Ave
Wynantskill, NY 12198
Phone (518) 326-0702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 052559 | NY | Yes |
Addresses
Primary practice location
86 Main Ave
Wynantskill, NY 12198-7541
Mailing address
506 Campbell Ave
Troy, NY 12180-6243
Phone (518) 203-6761
Other providers in Wynantskill, NY
- Krystal Bohan
- Stephanie Jill Carbone
- Anna Carey
- Mary Beth Carman
- Amanda L Carter
- Danielle P. Victoria Cayne
- Melissa Chestara
- Madison Clark
- Cheryl Coleman-Bickford
- Brent Conlee
All providers in Wynantskill, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.