Enid Wasacz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006270-1 Issued in NY

Practice address

100 Park St
Glens Falls, NY 12801-4413

Phone

(518) 926-2043

Fax

(518) 926-2012

NPI assigned

Jan 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York Downstate Medical Center, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PRN Physical, Occupational and Speech Therapy Network, PLLCGroup PAC ID 5092730788, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1336185263
  Medicare reassignment Care Compare group NPD
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, NY
  • NPI 1568059665
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1720383706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-2043",
            "fax_number": "518-926-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-2043",
            "fax_number": "518-926-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASACZ",
        "first_name": "ENID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006270-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine Ward, SLP
• Warm Hands Massage
• Warren Anesthesiologists Prof Corp
• Warren Washington County Homeless Youth Coalition Inc (WAIT House)
• Renee L Wartel, LCSW
• Monae Washington
• Elissa Waskiewicz, FNP
• Michelle L Waters, RPH
• Rachel Waters, MSN, RN, PMHNP
• Daniel G Way, MD

• Physical Therapist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.