Individual provider Active NPI

Alicia M Kowsky, PT

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1457975922
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045710 Issued in NY
Practice address
1 Barney Rd Ste 120
Clifton Park, NY 12065-5823
Phone
(518) 373-0735
Fax
(518) 373-7967
NPI assigned
Jun 1, 2020
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 045710 NY Primary

Addresses

Primary practice location

1 Barney Rd Ste 120
Clifton Park, NY 12065-5823

Mailing address

PO Box 11471
Albany, NY 12211-0471
Phone (518) 373-0735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608001123 NY Practitioner - Physical Therapist in Private Practice 1456772037 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045710NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Physical Therapy, PLLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
Radiant Roots Physical Therapy, PLLC Current Accepting new patients

Locations

1 Barney Rd
Ste 120
Clifton Park, NY 12065
Phone (518) 373-0735

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1457975922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11471",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122110471",
            "telephone_number": "518-373-0735",
            "fax_number": "518-373-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNEY RD STE 120",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655823",
            "telephone_number": "518-373-0735",
            "fax_number": "518-373-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWSKY",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045710",
            "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 Jun 1, 2020; 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.