Individual provider Active NPI

Carla Wasbes, PT

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1417034042
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021727 Issued in NY
Practice address
345 Northern Blvd
Suite 100
Albany, NY 12204-1001
Phone
(518) 462-1689
Fax
(518) 462-1689
NPI assigned
Nov 1, 2006
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 Therapist 225100000X 021727 NY Primary

Addresses

Primary practice location

345 Northern Blvd
Suite 100
Albany, NY 12204-1001

Mailing address

20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000126 NY Practitioner - Physical Therapist in Private Practice 5799786406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021727NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC Physical Therapist CurrentSince Jan 1, 2011 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Jan 1, 2011 Accepting new patients

Locations

345 Northern Blvd
Albany, NY 12204
Phone (518) 462-1689

345 Northern Blvd
Ste 100
Albany, NY 12204
Phone (518) 462-1689

1 Emma Ln
Clifton Park, NY 12065
Phone (518) 280-5867

421 Columbia St
Cohoes, NY 12047
Phone (518) 237-5630

5 S Family Dr
Colonie, NY 12205
Phone (518) 213-9923

20 Peachtree Ct
Ste 105
Holbrook, NY 11741
Phone (518) 253-4983

298 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 888-2578

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417034042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 NORTHERN BLVD",
            "address_2": "SUITE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041001",
            "telephone_number": "518-462-1689",
            "fax_number": "518-462-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASBES",
        "first_name": "CARLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, 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.
  • 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.