Lydia A Repnoy, PT
Individual provider Active NPI Physical Therapist · Valatie, NY
NPI 1639429459 · NPPES record last updated Feb 1, 2017
Key facts
- NPI
- 1639429459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 035376-1 (NY)
- Practice address
- 2827 Route 9
Valatie, NY 12184 - Phone
- (518) 758-7616
- Fax
- (518) 758-7557
- NPI assigned
- Sep 19, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- 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 |
|---|---|---|---|---|
| I20121101000054 | NY | Practitioner - Physical Therapist in Private Practice | 7113177932 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035376-1 | NY | MD | Physical Therapist |
| 035376 | NY | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Samaritan Hospital of Troy, New York | Current |
Accepting new patients | |
| Samaritan Hospital of Troy, New York | Physical Therapist | Current |
Accepting new patients |
Locations
648 Plank Rd
Ste 101
Clifton Park, NY 12065
Phone (518) 268-4800
3 Springhurst Dr
#1
East Greenbush, NY 12061
Phone (518) 286-3990
3 Springhurst Dr
East Greenbush, NY 12061
Phone (518) 479-7172
2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035376-1 | NY | Yes |
Addresses
Primary practice location
2827 Route 9
Valatie, NY 12184
Mailing address
3 Springhurst Dr
East Greenbush, NY 12061-2261
Phone (518) 479-7172
Other providers in Valatie, NY
- Erica J Parisi
- Joseph Pelizza
- Physical Therapy of Valatie, PC
- David B. Picchione
- Nancyann Quimby
- Kimberly Lynn Ringwood
- Rugen Chiropractic PC
- Glenn Edward Rugen
- Robert Keith Rugen
- Stefanie L Ryan
All providers in Valatie, 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 1, 2017. 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.