Active NPI
Nicolla and Associates, PT & OT Services, PLLC
- Specialist
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NICOLLA AND ASSOCIATES, PT & OT SERVICES, PLLC
- Practice address
- 711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442 - Phone
- (518) 786-1667
- Fax
- (518) 786-1954
- NPI assigned
- Jan 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Nicolla
- Title
- Owner
- Phone
- (518) 786-1667
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442
Mailing address
711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2442
Phone (518) 786-1667
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH8550 | Other | NY | RAILROAD MEDICARE |
| 000413955001 | Other | NY | BSNENY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624000511 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7315836848 |
Receives reassigned benefits from 57 practitioners Practice locations: Albany, NY; Clifton Park, NY; Latham, NY; Slingerlands, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
989 Route 146
Ste 100
Clifton Park, NY 12065
Phone (518) 264-4800
711 Troy Schenectady Rd
Ste 209
Latham, NY 12110
Phone (518) 786-1667
711 Troy Schenectady Rd
Ste 214
Latham, NY 12110
Phone (518) 690-2882
10 Vista Blvd
Slingerlands, NY 12159
Phone (518) 478-9049
Practitioners & affiliated clinicians
Practitioners 99
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": "1136937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1487633152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD",
"address_2": "SUITE 209",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442",
"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",
"address_2": "SUITE 209",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442",
"telephone_number": "518-786-1667",
"fax_number": "518-786-1954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLLA AND ASSOCIATES, PT & OT SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-11",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "NICOLLA",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-786-1667"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH8550",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000413955001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2024; 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.