Gina Roemer
Individual provider Active NPI Physical Therapist · East Greenbush, NY
NPI 1508968629 · NPPES record last updated Mar 4, 2009
Key facts
- NPI
- 1508968629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 021801 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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 PC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071226000400 | NY | Practitioner - Physical Therapist in Private Practice | 9234226226 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021801 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Physical Therapy PC | Physical Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021801 | NY | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02355044 | Medicaid | NY |
Other names
- Miss Gina Mastrianni
Other providers in East Greenbush, NY
- Rensselaer Planning LLC
- Megan Joy Rider
- Rite Aid of New York Inc
- Amber Robles
- Nah'Ziza Rodriguez
- Janet Rokjer
- Alison Romer
- Daisy Rono
- Laurie A Runnerstrom
- Kylie Salerno
All providers in East Greenbush, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.