Active NPI
Sports Therapy Albany PT, PC D/B/a
- Physical Therapy Clinic/Center
- Albany, NY
National Provider Identifier
1437191830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 009771-1
- Legal business name
- SPORTS THERAPY ALBANY PT, PC D/B/A
- Doing business as
- Albany Physical Therapy
- Practice address
- 4 Executive Park Dr
Albany, NY 12203-3718 - Phone
- (518) 489-2449
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas F Fashouer
- Title
- Ditector
- Phone
- (518) 489-2449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 009771-1 | NY | Primary |
Addresses
Primary practice location
4 Executive Park Dr
Albany, NY 12203-3718
Mailing address
21 Hawthorne Ave
Delmar, NY 12054-3118
Phone (518) 439-4543
Other names 1
- Albany Physical Therapy
National Provider Directory
National Provider Directory- Tax ID family
- Albany Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Albany, NY
- NPI 1063541332
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Albany, NY
- NPI 1619910916
-
- Physical Therapy Clinic/Center
- Albany, NY
- NPI 1568488070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1437191830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HAWTHORNE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543118",
"telephone_number": "518-439-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 EXECUTIVE PARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033718",
"telephone_number": "518-489-2449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS THERAPY ALBANY PT, PC D/B/A",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "FASHOUER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DITECTOR",
"authorized_official_telephone_number": "518-489-2449"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "009771-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Albany Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.