Individual provider Active NPI

Lydia A Repnoy, PT

  • Physical Therapist
  • Valatie, NY
National Provider Identifier
1639429459
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035376-1 Issued in NY
Practice address
2827 Route 9
Valatie, NY 12184
Phone
(518) 758-7616
Fax
(518) 758-7557
NPI assigned
Sep 19, 2012
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 035376-1 NY Primary

Addresses

Primary practice location

2827 Route 9
Valatie, NY 12184

Mailing address

3 Springhurst Dr
East Greenbush, NY 12061-2261
Phone (518) 479-7172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121101000054 NY Practitioner - Physical Therapist in Private Practice 7113177932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 6608780911, 9 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035376-1NYMDPhysical Therapist
035376NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Columbia Physical Therapy PC Physical Therapist CurrentSince Sep 1, 2012 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Jun 17, 2024 Accepting new patients

Locations

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

3 Springhurst Dr
East Greenbush, NY 12061
Phone (518) 479-7172

3 Springhurst Dr
#1
East Greenbush, NY 12061
Phone (518) 286-3990

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

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1639429459",
    "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": "2827 ROUTE 9",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-758-7616",
            "fax_number": "518-758-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPNOY",
        "first_name": "LYDIA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035376-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valatie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.