Organization Active NPI

Sports Therapy Albany PT, PC D/B/a

  • Physical Therapy Clinic/Center
  • Albany, NY
National Provider Identifier
1437191830
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
009771-1 Issued in NY
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

Updated by the provider on Jun 30, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Albany Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.