Active NPI
Erica Fitzgerald
- Physical Therapist
- Clifton Park, NY
National Provider Identifier
1447712666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043547
- Practice address
- 4 Castillion CT
Clifton Park, NY 12065-4909 - Phone
- (518) 466-4409
- NPI assigned
- Apr 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6339 | MS | |
| Physical Therapist | 225100000X | 007220 | KY | |
| Physical Therapist | 225100000X | 043547 | NY | Primary |
Addresses
Primary practice location
4 Castillion CT
Clifton Park, NY 12065-4909
Mailing address
4 Castillion CT
Clifton Park, NY 12065-4909
Phone (518) 466-4409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043547 | NY | MD | Pharmacist |
| 007220 | KY | MD | Physical Therapist |
| PT6339 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1447712666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CASTILLION CT",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120654909",
"telephone_number": "518-466-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CASTILLION CT",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120654909",
"telephone_number": "518-466-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6339",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007220",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043547",
"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 Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.