Active NPI
Weston Paxxon PT OT & SLP PLLC
- Geriatric Physical Therapist
- Albany, NY
National Provider Identifier
1679583603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 022235-1
- Legal business name
- WESTON PAXXON PT OT & SLP PLLC
- Practice address
- 345 Northern Blvd
Suite 100
Albany, NY 12204-1001 - Phone
- (518) 462-1689
- Fax
- (516) 468-1689
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roger Raymond Berkley Jr., PT
- Title
- Executive VP
- Phone
- (631) 467-3700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 022235-1 | NY | Primary |
| Occupational Therapist | 225X00000X | 013398-1 | NY |
Addresses
Primary practice location
345 Northern Blvd
Suite 100
Albany, NY 12204-1001
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (610) 991-2034
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340841600000",
"number": "1679583603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "610-991-2034",
"fax_number": "610-438-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041001",
"telephone_number": "518-462-1689",
"fax_number": "516-468-1689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTON PAXXON PT OT & SLP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2012-06-28",
"status": "A",
"authorized_official_last_name": "BERKLEY",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "EXECUTIVE VP",
"authorized_official_telephone_number": "631-467-3700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "022235-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013398-1",
"primary": false
}
],
"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 Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.