Active NPI
Jesse A Byers, DPT
- Physical Therapist
- Latham, NY
National Provider Identifier
1508339474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040958
- Practice address
- 1182 Troy Schenectady Rd Ste LL02
Latham, NY 12110-1000 - Phone
- (518) 289-5242
- NPI assigned
- Jan 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 040958 | NY | Primary |
Addresses
Primary practice location
1182 Troy Schenectady Rd Ste LL02
Latham, NY 12110-1000
Mailing address
108 Shaker Run
Colonie, NY 12205-2452
Phone (541) 740-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Barney Rd
Suite 120
Clifton Park, NY 12065-5823
Phone (518) 373-0735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040958 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Physical Therapy Wellness, PLLC | Physical Therapist | Current | Accepting new patients |
| Cocozzo Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
1 Barney Rd
Ste 120
Clifton Park, NY 12065
Phone (518) 373-0735
Organizations & group practices 2
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.
-
- Physical Therapist
- Clifton Park, NY
- NPI 1811743321
-
- Physical Therapist
- Mechanicville, NY
- NPI 1720381403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1508339474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 SHAKER RUN",
"city": "COLONIE",
"state": "NY",
"postal_code": "122052452",
"telephone_number": "541-740-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 TROY SCHENECTADY RD STE LL02",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101000",
"telephone_number": "518-289-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYERS",
"first_name": "JESSE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-03",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040958",
"primary": true
}
],
"identifiers": [],
"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 Mar 11, 2022; 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.