Individual provider Active NPI

Elizabeth Yoxthimer, PT

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1417989153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013002 Issued in NY
Practice address
648 Plank Rd
Clifton Park, NY 12065-2062
Phone
(518) 268-4800
Fax
(518) 268-4888
NPI assigned
Jul 6, 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 013002 NY Primary

Addresses

Primary practice location

648 Plank Rd
Clifton Park, NY 12065-2062

Mailing address

648 Plank Rd
Clifton Park, NY 12065-2062
Phone (518) 268-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627002208 NY Practitioner - Physical Therapist in Private Practice 6103195664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013002NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Samaritan Hospital of Troy, New York PastSince Jan 1, 2019 Accepting new patients

Locations

2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

147 Hoosick St
Ste 202
Troy, NY 12180
Phone (518) 268-5380

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

147 Hoosick St
Ste E
Troy, NY 12180
Phone (518) 268-5380

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417989153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 PLANK RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652062",
            "telephone_number": "518-268-4800",
            "fax_number": "518-268-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 PLANK RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652062",
            "telephone_number": "518-268-4800",
            "fax_number": "518-268-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOXTHIMER",
        "first_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, 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.