Spa Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPA PHYSICAL THERAPY, PC

Practice address

7 Wells St
Suite 101
Saratoga Springs, NY 12866-1200

Phone

(518) 587-0637

Fax

(518) 587-2515

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Colleen Backus, P.T.NPI 1891758694

Title

Owner

Phone

(518) 587-0637

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Backus, PT

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1891758694
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Dodd, PT

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1184688418
  Medicare reassignment Care Compare group NPD
• Shannon Gould, PSY.D.

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1316963382
  NPD (past)
• Margret Haff, PT

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1154386175
  NPD (past)
• Michelle Haller, P.T.

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1922429687
  NPD (past)
• Karen Batt Kowalczyk, PT

  • Physical Therapist
  • Queensbury, NY
  • NPI 1720222797
  NPD (past)
• Janis Lumley, PT

  • Specialist
  • Malta, NY
  • NPI 1215175989
  NPD (past)
• Patricia Ellen Tschannen, P.T.

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1053559294
  NPD (past)
• Adrienne Ward, PT

  • Physical Therapist
  • Amsterdam, NY
  • NPI 1902861990
  NPD (past)
• Michelle Lee Decker

  • Physical Therapist
  • Saint Johnsbury, VT
  • NPI 1659595288
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487765095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WELLS ST",
            "address_2": "SUITE 101",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661200",
            "telephone_number": "518-587-0637",
            "fax_number": "518-587-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WELLS ST",
            "address_2": "SUITE 101",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661200",
            "telephone_number": "518-587-0637",
            "fax_number": "518-587-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-587-0637",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "1368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayesha Muriam Sooriabalan, M.D.
• Andrew James Sorensen
• Kaylia Sorgie, OD OPTOMETRIST
• Maiyra Soto, LCSW R
• Lauren Marie South, PA-C
• Tory Speert, DO
• Linn Spencer Hayes, LCSW
• Sheryl Spencer, LMSW, ACSW
• Spring Back Chiropractic, PLLC
• David A St Peter, MD

• Physical Therapist in Saratoga Springs, NY
• Providers in Saratoga Springs, 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 22, 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.