Individual provider Active NPI

Gina Roemer

  • Physical Therapist
  • East Greenbush, NY
National Provider Identifier
1508968629
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021801 Issued in NY
Practice address
3 Springhurst Dr
Suite 1
East Greenbush, NY 12061-2261
Phone
(518) 479-7172
Fax
(518) 286-3798
NPI assigned
Sep 1, 2006
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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 021801 NY Primary

Addresses

Primary practice location

3 Springhurst Dr
Suite 1
East Greenbush, NY 12061-2261

Mailing address

3 Springhurst Dr
Suite 1
East Greenbush, NY 12061-2261
Phone (518) 479-7172

Other names 1

  • Miss Gina Mastrianni Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000400 NY Practitioner - Physical Therapist in Private Practice 9234226226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Physical Therapy PCGroup PAC ID 6608780911, 9 clinicians

Practice addresses (Care Compare)

2827 Route 9
Valatie, NY 12184
Phone (518) 758-7616

3 Springhurst Dr
Suite 1
East Greenbush, NY 12061-2261
Phone (518) 479-7172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021801NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Physical Therapy PC Physical Therapist CurrentSince Jun 14, 2009 Accepting new patients

Locations

3 Springhurst Dr
#1
East Greenbush, NY 12061
Phone (518) 286-3990

2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1508968629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPRINGHURST DR",
            "address_2": "SUITE 1",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612261",
            "telephone_number": "518-479-7172",
            "fax_number": "518-286-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPRINGHURST DR",
            "address_2": "SUITE 1",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612261",
            "telephone_number": "518-479-7172",
            "fax_number": "518-286-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMER",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MASTRIANNI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.