Individual provider Active NPI

Feb Jerome Biton Pabulayan, DPT

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1497336010
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046610-01 Issued in NY
Practice address
315 S Manning Blvd
Albany, NY 12208-1789
Phone
(518) 525-1370
NPI assigned
Apr 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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 046610-01 NY Primary

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1789

Mailing address

11 Dorchester St
Clifton Park, NY 12065-1636
Phone (518) 860-6107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725003872 NY Practitioner - Physical Therapist in Private Practice 9133580095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zuppa Physical Therapy PCGroup PAC ID 8729228671, 6 clinicians

Practice addresses (Care Compare)

801 State Route 50
Suite 1
Burnt Hills, NY 12027-9515
Phone (518) 952-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046610-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zuppa Physical Therapy PC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients

Locations

801 State Route 50
#1
Burnt Hills, NY 12027
Phone (518) 952-7780

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1497336010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DORCHESTER ST",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651636",
            "telephone_number": "518-860-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081789",
            "telephone_number": "518-525-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABULAYAN",
        "first_name": "FEB JEROME",
        "middle_name": "BITON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046610-01",
            "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 Apr 15, 2021; 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.