Cody Martucci, DPT
Individual provider Active NPI Physical Therapist · East Greenbush, NY
NPI 1609460286 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1609460286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 046694 (NY)
- Practice address
- 3 Springhurst Dr
East Greenbush, NY 12061-2261 - Phone
- (518) 479-7172
- Fax
- (518) 286-3798
- NPI assigned
- Feb 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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 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 |
|---|---|---|---|---|
| I20210316000432 | NY | Practitioner - Physical Therapist in Private Practice | 3476969544 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
3 Springhurst Dr
East Greenbush, NY 12061
Phone (518) 479-7172
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046694 | NY | Yes |
Addresses
Primary practice location
3 Springhurst Dr
East Greenbush, NY 12061-2261
Mailing address
3 Springhurst Dr
East Greenbush, NY 12061-2261
Phone (518) 479-7172
Other practice location 1
2827 Route 9
Valatie, NY 12184
Phone (518) 758-7616
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WWW.COLUMBIAPT.COM | Direct |
Other providers in East Greenbush, NY
- Elnasha Malloy
- Sydney Manning
- Erin Marafioti
- Michelle Lynn Marnes
- Shannon Maroun
- Marcus Massaconi
- Arika Mathews
- Regina Matthews-Johnson
- Laurie Anne McBain
- James McDermott
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 Feb 24, 2021. 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.