Active NPI
Stephen W. Bassin, P.T., P.C.
- Physical Therapist
- Glens Falls, NY
National Provider Identifier
1508863507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB0Q576810 | Other | NY | EMPIRE BC/BS |
| 02594365 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.