NPIMap

Organization Active NPI

Columbia Physical Therapy PC

  • Physical Therapist
  • East Greenbush, NY
National Provider Identifier
1386724722
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COLUMBIA PHYSICAL THERAPY PC
Practice address
3 Springhurst Dr
Suite #1
East Greenbush, NY 12061-2261
Phone
(518) 479-7172
Fax
(518) 286-3798
NPI assigned
Oct 17, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Mr. Robert FrankNPI 1942312293
Title
Owner/Manager
Phone
(518) 479-7172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X NY Primary

Addresses

Primary practice location

3 Springhurst Dr
Suite #1
East Greenbush, NY 12061-2261

Mailing address

3 Springhurst Dr
Suite #1
East Greenbush, NY 12061-2261
Phone (518) 479-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031119000295 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608780911 Receives reassigned benefits from 10 practitioners
Practice locations: East Greenbush, NY
O20040429000800 NY Part B Supplier - Clinic/Group Practice 6608780911 Receives reassigned benefits from 11 practitioners
Practice locations: Valatie, NY

National Provider Directory

National Provider Directory

Locations

2500 Pond Vw
Ste 105
Castleton, NY 12033
Phone (518) 479-7172

3 Springhurst Dr
East Greenbush, NY 12061
Phone (518) 479-7172

3 Springhurst Dr
#1
East Greenbush, NY 12061
Phone (518) 286-3990

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1386724722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPRINGHURST DR",
            "address_2": "SUITE #1",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612261",
            "telephone_number": "518-479-7172",
            "fax_number": "518-286-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPRINGHURST DR",
            "address_2": "SUITE #1",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612261",
            "telephone_number": "518-479-7172",
            "fax_number": "518-286-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "518-479-7172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.