Individual provider Active NPI

Maureen P Flaherty, PT

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1619922853
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0167371 Issued in NY
Practice address
4 Emma Lane
Suite 401
Clifton Park, NY 12065
Phone
(518) 383-2610
Fax
(518) 383-8188
NPI assigned
May 24, 2006
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 0167371 NY Primary

Addresses

Primary practice location

4 Emma Lane
Suite 401
Clifton Park, NY 12065

Mailing address

4 Emma Lane
Suite 401
Clifton Park, NY 12065
Phone (518) 383-2610

Other practice location 1

2 Empire Dr Ste 202
Rensselaer, NY 12144-5730
Phone (518) 286-4990

Other practice location 2

648 Plank Rd Ste 101
Clifton Park, NY 12065-2062
Phone (518) 268-4800

Other practice location 3

147 Hoosick St
Troy, NY 12180-2393
Phone (518) 268-5749

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226001060 NY Practitioner - Physical Therapist in Private Practice 5991044588 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0167371NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Sunnyview Hospital and Rehabilitation Center Physical Therapist CurrentSince Jan 26, 2021 Accepting new patients
Michael D. Wood, PT, PC Physical Therapist Past Accepting new patients

Locations

648 Plank Rd
Ste 101
Clifton Park, NY 12065
Phone (518) 268-4800

2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1619922853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EMMA LANE",
            "address_2": "SUITE 401",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-383-2610",
            "fax_number": "518-383-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EMMA LANE",
            "address_2": "SUITE 401",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-383-2610",
            "fax_number": "518-383-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Empire Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Plank Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652062",
            "country_code": "US",
            "telephone_number": "518-268-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Hoosick St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802393",
            "country_code": "US",
            "telephone_number": "518-268-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "MAUREEN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0167371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.