Individual provider Active NPI

Audrey Calvino, DPT

  • Physical Medicine & Rehabilitation Physician
  • Slingerlands, NY
National Provider Identifier
1649580986
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
020228 Issued in NY
Practice address
1220 New Scotland Rd
Suite 103
Slingerlands, NY 12159-9386
Phone
(518) 439-5006
Fax
(518) 641-0375
NPI assigned
Oct 20, 2010
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 020228 NY Primary

Addresses

Primary practice location

1220 New Scotland Rd
Suite 103
Slingerlands, NY 12159-9386

Mailing address

336 Fairview Ave
Hudson, NY 12534-1203
Phone (518) 828-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020228NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Physical Therapy, PLLC PastSince Oct 23, 2006 Accepting new patients
Capital Region Neurosurgery, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1649580986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FAIRVIEW AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341203",
            "telephone_number": "518-828-7101",
            "fax_number": "518-828-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD",
            "address_2": "SUITE 103",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-439-5006",
            "fax_number": "518-641-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVINO",
        "first_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "020228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.