NPIMap

Organization Active NPI

Thomas Nicolla

Doing business as Nicolla Physical Therapy of East Greenbush

  • Physical Therapist
  • East Greenbush, NY
National Provider Identifier
1407042484
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THOMAS NICOLLA
Doing business as
Nicolla Physical Therapy of East Greenbush
Practice address
749 Columbia Tpke
East Greenbush, NY 12061-2612
Phone
(518) 479-2046
Fax
(518) 477-5410
NPI assigned
Sep 24, 2007
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Thomas NicollaNPI 1043279847
Title
Owner
Phone
(518) 786-1667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

749 Columbia Tpke
East Greenbush, NY 12061-2612

Mailing address

749 Columbia Tpke
East Greenbush, NY 12061-2612
Phone (518) 479-2046

Other identifiers 1

IdentifierTypeStateIssuer
000413955002OtherNYBSNENY

Other names 1

  • Nicolla Physical Therapy of East Greenbush Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nicolla Center for Oncology Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

749 Columbia Tpke
East Greenbush, NY 12061
Phone (518) 479-2046

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1407042484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 COLUMBIA TPKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612612",
            "telephone_number": "518-479-2046",
            "fax_number": "518-477-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 COLUMBIA TPKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612612",
            "telephone_number": "518-479-2046",
            "fax_number": "518-477-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS NICOLLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "NICOLLA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-786-1667"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000413955002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicolla Physical Therapy of East Greenbush",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2009; 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.