Active NPI
Amanda Cocozzo, PT
- Physical Therapist
- Mechanicville, NY
National Provider Identifier
1578545265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023221-1
- Practice address
- 218 S Central Ave
Mechanicville, NY 12118-3522 - Phone
- (518) 664-1188
- Fax
- (518) 664-1187
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023221-1 | NY | Primary |
Addresses
Primary practice location
218 S Central Ave
Mechanicville, NY 12118-3522
Mailing address
176 Durham Rd
Stillwater, NY 12170-1418
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 Hemphill PL
Suite 130
Malta, NY 12020-4482
Phone (518) 289-5242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023221 | NY | MD | Clinical Psychologist |
| 023221-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Physical Therapy, PLLC | Current | Accepting new patients |
Locations
7 Hemphill Pl
Ste 130
Malta, NY 12020
Phone (518) 289-5242
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Malta, NY
- NPI 1477995330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1578545265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 DURHAM RD",
"city": "STILLWATER",
"state": "NY",
"postal_code": "121701418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 S CENTRAL AVE",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "121183522",
"telephone_number": "518-664-1188",
"fax_number": "518-664-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCOZZO",
"first_name": "AMANDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023221-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.