Individual provider Active NPI

Rissa M. Bapp, PTA

  • Physical Therapy Assistant
  • Glens Falls, NY
National Provider Identifier
1386856367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0001151 Issued in NY
Practice address
37 Everts Ave
Glens Falls, NY 12804-2040
Phone
(518) 793-4700
Fax
(518) 743-1061
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0001151 NY Primary

Addresses

Primary practice location

37 Everts Ave
Glens Falls, NY 12804-2040

Mailing address

20 Stump St
Gansevoort, NY 12831-2042
Phone (518) 798-5285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001151NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386856367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STUMP ST",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128312042",
            "telephone_number": "518-798-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EVERTS AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128042040",
            "telephone_number": "518-793-4700",
            "fax_number": "518-743-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPP",
        "first_name": "RISSA",
        "middle_name": "M.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "0001151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.