Organization Active NPI

Nick Valenze Physical Therapist PC

  • Physical Therapist
  • Glenmont, NY
National Provider Identifier
1639280993
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NICK VALENZE PHYSICAL THERAPIST PC
Practice address
365 Feura Bush Rd
Glenmont, NY 12077-2983
Phone
(518) 436-3954
Fax
(518) 436-4257
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Nick Valenze, PTNPI 1851362024
Title
Owner/Physical Therapist
Phone
(518) 436-3954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

365 Feura Bush Rd
Glenmont, NY 12077-2983

Mailing address

365 Feura Bush Rd
Glenmont, NY 12077-2983
Phone (518) 436-3954

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000255 NY Part B Supplier - Clinic/Group Practice 2769497734 Receives reassigned benefits from 1 practitioner
Practice locations: Catskill, NY

National Provider Directory

National Provider Directory

Locations

70 Hill St
Catskill, NY 12414
Phone (518) 943-5370

159 Jefferson Hts
Ste D002
Catskill, NY 12414
Phone (518) 719-3304

365 Feura Bush Rd
Glenmont, NY 12077
Phone (518) 436-3954

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1639280993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FEURA BUSH RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772983",
            "telephone_number": "518-436-3954",
            "fax_number": "518-436-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FEURA BUSH RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772983",
            "telephone_number": "518-436-3954",
            "fax_number": "518-436-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK VALENZE PHYSICAL THERAPIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "VALENZE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-436-3954",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.