Individual provider Active NPI

Rebecca A Tomisman, PT

  • Specialist
  • Albany, NY
National Provider Identifier
1669629267
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
013108-1 Issued in NY
Practice address
1971 Western Ave
Albany, NY 12203-5066
Phone
(518) 869-6220
Fax
(518) 869-6465
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 013108-1 NY Primary

Addresses

Primary practice location

1971 Western Ave
Albany, NY 12203-5066

Mailing address

1971 Western Ave
Albany, NY 12203-5066
Phone (518) 869-6220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000600 NY Practitioner - Physical Therapist in Private Practice 8628109527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brunswick Physical Therapy PLLCGroup PAC ID 8022167337, 4 clinicians

Practice addresses (Care Compare)

4164 Ny
Suite 2
Troy, NY 12180-9029
Phone (518) 326-9272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13108NYMDAddiction (Substance Use Disorder) Counselor
013108-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Physical Therapy PLLC CurrentSince May 6, 2019 Accepting new patients
Columbia Physical Therapy PC PastSince Jun 1, 2007 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1669629267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-869-6220",
            "fax_number": "518-869-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-869-6220",
            "fax_number": "518-869-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMISMAN",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "013108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.