Cody Martucci, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046694 Issued in NY

Practice address

3 Springhurst Dr
East Greenbush, NY 12061-2261

Phone

(518) 479-7172

Fax

(518) 286-3798

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

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)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Columbia Physical Therapy PC

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1386724722
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1609460286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPRINGHURST DR",
            "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",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612261",
            "telephone_number": "518-479-7172",
            "fax_number": "518-286-3798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2827 ROUTE 9",
            "address_purpose": "LOCATION",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "country_code": "US",
            "telephone_number": "518-758-7616",
            "fax_number": "518-758-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "CODY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.COLUMBIAPT.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Springhurst Dr",
            "city": "East Greenbush",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120612261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elnasha Malloy
• Sydney Manning, COTA
• Erin Marafioti, RN
• Michelle Lynn Marnes, M.A. CCC-SLP
• Shannon Maroun, LPN
• Marcus Massaconi
• Arika Mathews
• Regina Matthews-Johnson
• Laurie Anne McBain, CSW
• James McDermott, CASAC-G

• Physical Therapist in East Greenbush, NY
• Providers in East Greenbush, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.