Active NPI
Valerie E Sobotka Pagano, P.T.
- Specialist
- Amsterdam, NY
National Provider Identifier
1578999082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 40 Henrietta Blvd
Amsterdam, NY 12010-1111 - Phone
- (518) 843-3003
- NPI assigned
- Sep 17, 2013
- Last updated
- Oct 2, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Physical Therapist | 225100000X | 020954 | NY |
Addresses
Primary practice location
40 Henrietta Blvd
Amsterdam, NY 12010-1111
Mailing address
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Phone (518) 875-6724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020954 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physical Therapy & Sports Medicine Services, P.C. | Physical Therapist | Past | Accepting new patients |
| Valley Physical Therapy, LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
-
- Physical Therapist
- Marlborough, CT
- NPI 1841381969
-
- Specialist
- Marlborough, CT
- NPI 1841525904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1578999082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HENRIETTA BLVD",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120101111",
"telephone_number": "518-843-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOTKA PAGANO",
"first_name": "VALERIE",
"middle_name": "E",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-17",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.