NPIMap

Organization Active NPI

Heeney Physical Therapy, PC

Doing business as Bender Rehabilitation Center

  • Physical Therapist
  • Ballston Lake, NY
National Provider Identifier
1720036254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021435-1 Issued in NY
Legal business name
HEENEY PHYSICAL THERAPY, PC
Doing business as
Bender Rehabilitation Center
Practice address
2 Rosell Dr
Suite 100
Ballston Lake, NY 12019-1400
Phone
(518) 877-8900
Fax
(518) 877-8908
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John C Bender, P.T.NPI 1588666192
Title
Physical Therapist/Owner
Phone
(518) 877-8900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 021435-1 NY Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 022761-1 NY

Addresses

Primary practice location

2 Rosell Dr
Suite 100
Ballston Lake, NY 12019-1400

Mailing address

2 Rosell Dr
Suite 100
Ballston Lake, NY 12019-1400
Phone (518) 877-8900

Other identifiers 2

IdentifierTypeStateIssuer
1588666192OtherNYJOHN C BENDER, NPI
1043212681OtherNYJESSICA BENDER, NPI

Other names 1

  • Bender Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

2 Rosell Dr
Ste 100
Ballston Lake, NY 12019
Phone (518) 877-8900

Practitioners & affiliated clinicians

Practitioners 3

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720036254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROSELL DR",
            "address_2": "SUITE 100",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191400",
            "telephone_number": "518-877-8900",
            "fax_number": "518-877-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROSELL DR",
            "address_2": "SUITE 100",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191400",
            "telephone_number": "518-877-8900",
            "fax_number": "518-877-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEENEY PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "518-877-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021435-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022761-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN C BENDER, NPI",
            "identifier": "1588666192",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JESSICA BENDER, NPI",
            "identifier": "1043212681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bender Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballston Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.