Organization Active NPI

Positive Motion Physical Therapy, PLLC

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1427545573
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037709-1 Issued in NY
Legal business name
POSITIVE MOTION PHYSICAL THERAPY, PLLC
Practice address
21A Railroad Ave Ste B
Albany, NY 12205-5931
Phone
(518) 650-6962
NPI assigned
Apr 15, 2018
Last updated
Apr 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

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

Authorized official

Name
Raymon S Webster IV, PTNPI 1336370683
Title
Owner
Phone
(518) 650-6962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037709-1 NY Primary

Addresses

Primary practice location

21A Railroad Ave Ste B
Albany, NY 12205-5931

Mailing address

21A Railroad Ave Ste B
Albany, NY 12205-5931
Phone (518) 650-6962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200512002921 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496186132 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

1 Pine West Plz
Ste 112
Albany, NY 12205
Phone (518) 925-6116

21A Railroad Ave
Ste B
Colonie, NY 12205
Phone (518) 650-6962

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": "1523750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1427545573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21A RAILROAD AVE STE B",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055931",
            "telephone_number": "518-650-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21A RAILROAD AVE STE B",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055931",
            "telephone_number": "518-650-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE MOTION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "RAYMON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-650-6962",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037709-1",
            "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 Apr 15, 2018; 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.