Individual provider Active NPI

John Traudt, DC

  • Chiropractor
  • Albany, NY
National Provider Identifier
1427021641
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009067-1 Issued in NY
Practice address
1694 Central Ave
Albany, NY 12205-4002
Phone
(518) 869-3884
Fax
(518) 869-6030
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009067-1 NY Primary

Addresses

Primary practice location

1694 Central Ave
Albany, NY 12205-4002

Mailing address

1694 Central Ave
Albany, NY 12205-4002
Phone (518) 869-3884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000449 NY Practitioner - Chiropractic 9234301573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Chiropractic and Physical Therapy PLLCGroup PAC ID 0345468252, 4 clinicians

Practice addresses (Care Compare)

1694 Central Ave
Albany, NY 12205-4002
Phone (518) 869-3884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009067-1NYMDChiropractor
009067NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Chiropractic and Physical Therapy, PLLC Chiropractor CurrentSince Apr 28, 2014 Accepting new patients

Locations

1694 Central Ave
Colonie, NY 12205
Phone (518) 869-3884

Organizations & group practices 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1427021641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054002",
            "telephone_number": "518-869-3884",
            "fax_number": "518-869-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054002",
            "telephone_number": "518-869-3884",
            "fax_number": "518-869-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUDT",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009067-1",
            "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 Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.