Individual provider Active NPI

Joshua Logiudice, PT

  • Physical Therapist
  • Latham, NY
National Provider Identifier
1598513624
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052303-01 Issued in NY
Practice address
711 Troy Schenectady Rd Ste 214
Latham, NY 12110-2461
Phone
(518) 690-2882
Fax
(518) 690-2884
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 052303-01 NY Primary

Addresses

Primary practice location

711 Troy Schenectady Rd Ste 214
Latham, NY 12110-2461

Mailing address

711 Troy Schenectady Rd Ste 209
Latham, NY 12110-2481
Phone (518) 786-1667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530003047 NY Practitioner - Physical Therapist in Private Practice 4587006960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052303-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Nicolla Consulting Services, PLLC Physical Therapist CurrentSince May 9, 2024 Accepting new patients
Nicolla and Associates, PT & OT Services, PLLC Physical Therapist CurrentSince May 9, 2024 Accepting new patients

Locations

1367 Washington Ave
Ste 100
Albany, NY 12206
Phone (518) 438-7926

711 Troy Schenectady Rd
Ste 209
Latham, NY 12110
Phone (518) 786-1667

711 Troy Schenectady Rd
Ste 214
Latham, NY 12110
Phone (518) 690-2882

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1598513624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 209",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102481",
            "telephone_number": "518-786-1667",
            "fax_number": "518-786-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 214",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-690-2882",
            "fax_number": "518-690-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGIUDICE",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052303-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.

Verify at the official NPI Registry.