Sydney Ezzo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047674 Issued in NY

Practice address

711 Troy Schenectady Rd Ste 216
Latham, NY 12110-2461

Phone

(518) 786-1665

Fax

(518) 785-0056

NPI assigned

Sep 20, 2021

Last updated

Aug 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sydney Connolly Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nicolla and Associates, PT & OT Services, PLLC

  • Specialist
  • Latham, NY
  • NPI 1487633152

  Physical Therapist

  Medicare reassignment NPD
• Thomas Nicolla Consulting Services, PLLC

  • Physical Therapist
  • Stamford, NY
  • NPI 1770636060
  NPD
• Thomas Nicolla Consulting Services, PLLC

  • Specialist
  • Latham, NY
  • NPI 1992850564
  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1487324562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 209",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-786-1667",
            "fax_number": "518-786-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 216",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-786-1665",
            "fax_number": "518-785-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZO",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06768932",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "CONNOLLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne Evangelista, RN
• Kateylyn Cecille Evans, PHARMD
• Jason Eveleth, MS. ED, LMHC
• Everett Forman PC (Medi Scene)
• Evergreen Care Services LLC
• John Joseph Faccone, RPH
• Kimberly Fahey, PT
• Miel Norwood Fajen, ED.D.
• Fallon Wellness Pharmacy
• Fallon Wellness Pharmacy, LLC

• Physical Therapist in Latham, NY
• Providers in Latham, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.