Individual provider Active NPI

Steven B Cornell, DPT

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1457433153
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028558 Issued in NY
Practice address
2 Computer Dr W
Suite 200
Albany, NY 12205-1622
Phone
(518) 489-2524
Fax
(518) 489-3617
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028558 NY Primary

Addresses

Primary practice location

2 Computer Dr W
Suite 200
Albany, NY 12205-1622

Mailing address

2 Computer Dr W
Suite 200
Albany, NY 12205-1622
Phone (518) 489-2524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000325 NY Practitioner - Physical Therapist in Private Practice 1052410677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John W Repsher PT LLCGroup PAC ID 2860414349, 8 clinicians

Practice addresses (Care Compare)

2 Computer Dr W
Suite 200
Albany, NY 12205-1622
Phone (518) 489-2524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028558NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
John W Repsher PT, LLC Physical Therapist CurrentSince Jun 24, 2013 Accepting new patients

Locations

121 Everett Rd
Ste 200
Albany, NY 12205
Phone (518) 489-2524

2 Computer Dr W
Ste 200
Albany, NY 12205
Phone (518) 489-2524

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1457433153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COMPUTER DR W",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051622",
            "telephone_number": "518-489-2524",
            "fax_number": "518-489-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COMPUTER DR W",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051622",
            "telephone_number": "518-489-2524",
            "fax_number": "518-489-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "STEVEN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028558",
            "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 Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.