Individual provider Active NPI

Marie McWhorter, PT

  • Physical Therapist
  • Queensbury, NY
National Provider Identifier
1700106523
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024300-1 Issued in NY
Practice address
39 Longview Dr
Queensbury, NY 12804-5862
Phone
(518) 832-7875
Fax
(518) 832-7875
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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 024300-1 NY Primary

Addresses

Primary practice location

39 Longview Dr
Queensbury, NY 12804-5862

Mailing address

20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000717 NY Practitioner - Physical Therapist in Private Practice 7315070893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Work and Independence Inc 4 clinicians

Practice addresses (Care Compare)

37 Everts Ave
Queensb Ury, NY 12804-2040
Phone (518) 793-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024300-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a Campopiano PT PLLC Physical Therapist CurrentSince May 15, 2024 Accepting new patients
Community Work and Independence, Inc. CurrentSince May 8, 2024 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC Physical Therapist PastSince Jul 5, 2013 Accepting new patients
Weston Paxxon PT, OT & SLP, PLLC Physical Therapist Past Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC PastSince Dec 27, 2020 Accepting new patients
Community, Work, and Independence, Inc. Past Accepting new patients

Locations

9 Broad St
Glens Falls, NY 12801
Phone (518) 409-4288

37 Everts Ave
Queensbury, NY 12804
Phone (518) 793-4700

Organizations & group practices 6

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1700106523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LONGVIEW DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045862",
            "telephone_number": "518-832-7875",
            "fax_number": "518-832-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHORTER",
        "first_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024300-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.