NPIMap

Organization Active NPI

New Scotland Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Slingerlands, NY
National Provider Identifier
1669768602
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
024641-1 Issued in NY
Legal business name
NEW SCOTLAND PHYSICAL THERAPY, LLC
Practice address
1969 New Scotland Rd
#8
Slingerlands, NY 12159-3653
Phone
(518) 221-6791
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Mrs. Mollie Beth Dambrocia, MSPTNPI 1043366271
Title
President/Physical Therapist
Phone
(518) 221-6791

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 Therapy Clinic/Center 261QP2000X 024641-1 NY Primary

Addresses

Primary practice location

1969 New Scotland Rd
#8
Slingerlands, NY 12159-3653

Mailing address

51 Simmie LN
Voorheesville, NY 12186-4853
Phone (518) 221-6791

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdambrocia@newscotlandpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111003000004 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840462594 Receives reassigned benefits from 3 practitioners
Practice locations: Slingerlands, NY

National Provider Directory

National Provider Directory

Locations

1944 New Scotland Rd
#B
Slingerlands, NY 12159
Phone (518) 621-7305

1969 New Scotland Rd
Ste 8
Slingerlands, NY 12159
Phone (518) 221-6791

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": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1669768602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SIMMIE LN",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121864853",
            "telephone_number": "518-221-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 NEW SCOTLAND RD",
            "address_2": "#8",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121593653",
            "telephone_number": "518-221-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SCOTLAND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "DAMBROCIA",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-221-6791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "024641-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdambrocia@newscotlandpt.com",
            "affiliation": "N",
            "address_1": "1969 New Scotland Rd",
            "address_2": "#8",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121593653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 23, 2020; 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.