NPIMap

Organization Active NPI

Physical Therapy Associates of Schenectady

  • Physical Therapist
  • Schenectady, NY
National Provider Identifier
1407937154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY
Practice address
3434 Carman Rd
Schenectady, NY 12303-5348
Phone
(518) 356-7445
Fax
(518) 357-0018
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Cooney, MS, PT
Title
Physical Therapist Owner
Phone
(518) 356-7445

Specialties & licenses 1

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

Addresses

Primary practice location

3434 Carman Rd
Schenectady, NY 12303-5348

Mailing address

3434 Carman Rd
Schenectady, NY 12303-5348
Phone (518) 356-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000464 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032013420 Receives reassigned benefits from 18 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Amsterdam, NY; Schenectady, NY; Scotia, NY; West Sand Lake, NY

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407937154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 CARMAN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123035348",
            "telephone_number": "518-356-7445",
            "fax_number": "518-357-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 CARMAN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123035348",
            "telephone_number": "518-356-7445",
            "fax_number": "518-357-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST  OWNER",
        "authorized_official_telephone_number": "518-356-7445",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.