Organization Active NPI

Stephen W. Bassin, P.T., P.C.

  • Physical Therapist
  • Glens Falls, NY
National Provider Identifier
1508863507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STEPHEN W. BASSIN, P.T., P.C.
Practice address
32 Sherman Ave
Glens Falls, NY 12801-2839
Phone
(518) 793-7136
Fax
(518) 793-7142
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Wayne Bassin, P.T.
Title
President, Physical Therapist
Phone
(518) 793-7136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

32 Sherman Ave
Glens Falls, NY 12801-2839

Mailing address

32 Sherman Ave
Glens Falls, NY 12801-2839
Phone (518) 793-7136

Other identifiers 2

IdentifierTypeStateIssuer
SB0Q576810OtherNYEMPIRE BC/BS
02594365MedicaidNY

National Provider Directory

National Provider Directory

Locations

32 Sherman Ave
Glens Falls, NY 12801
Phone (518) 793-7136

60 Glenwood Ave
Ste 2
Queensbury, NY 12804
Phone (518) 793-7136

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508863507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SHERMAN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012839",
            "telephone_number": "518-793-7136",
            "fax_number": "518-793-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SHERMAN AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012839",
            "telephone_number": "518-793-7136",
            "fax_number": "518-793-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W. BASSIN, P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASSIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-793-7136",
        "authorized_official_name_prefix": "Mr.",
        "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": "EMPIRE BC/BS",
            "identifier": "SB0Q576810",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.