NPIMap

Organization Active NPI

R.J.N. Physical Therapy P.L.L.C.

  • Physical Therapist
  • Latham, NY
National Provider Identifier
1457322935
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012460 Issued in NY
Legal business name
R.J.N. PHYSICAL THERAPY P.L.L.C.
Practice address
250 Old Loudon Rd
Latham, NY 12110-2909
Phone
(518) 489-2020
Fax
(518) 489-0716
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Mr. Richard J. Waite, P.T.NPI 1033198148
Title
Chief Physical Therapist
Phone
(518) 489-2020

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 012460 NY Primary

Addresses

Primary practice location

250 Old Loudon Rd
Latham, NY 12110-2909

Mailing address

250 Old Loudon Rd
Latham, NY 12110-2909
Phone (518) 489-2020

Other names 1

  • R.J.N. Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050211000329 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577515196 Receives reassigned benefits from 1 practitioner
Practice locations: Latham, NY

National Provider Directory

National Provider Directory

Locations

22 Picotte Dr
Albany, NY 12208
Phone (518) 489-0001

Practitioners & affiliated clinicians

Practitioners 9

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": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1457322935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OLD LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102909",
            "telephone_number": "518-489-2020",
            "fax_number": "518-489-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102909",
            "telephone_number": "518-489-2020",
            "fax_number": "518-489-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.J.N. PHYSICAL THERAPY P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-489-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.J.N. Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "R.J.N. Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.