Jason Lambert, PT

Individual provider Active NPI Physical Therapist · Schuylerville, NY

NPI 1700964210 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1700964210
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
028177 (NY)
Practice address
200 Broad St
Schuylerville, NY 12871-1024
Phone
(518) 695-3668
Fax
(518) 695-3614
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
028177NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Care Family Health Centers, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028177 NY Yes

Addresses

Primary practice location

200 Broad St
Schuylerville, NY 12871-1024

Mailing address

201 Church St
Saratoga Springs, NY 12866-1009
Phone (518) 580-2022

Other identifiers

IdentifierTypeStateIssuer
00697301MedicaidNY

Other providers in Schuylerville, NY

All providers in Schuylerville, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.