Active NPI
Physical Therapy Associates of Schenectady, P.C.
- Physical Therapist
- Latham, NY
National Provider Identifier
1780894568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY, P.C.
- Practice address
- 1182 Troy Schenectady Rd
Suite Llo2
Latham, NY 12110-1026 - Phone
- (518) 220-9705
- Fax
- (518) 220-9651
- NPI assigned
- May 23, 2007
- Last updated
- Jan 14, 2008
- 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. Thomas Michael Cooney, MS,PT
- Title
- Physical Therapist Owner
- Phone
- (518) 346-5168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NY | Primary |
Addresses
Primary practice location
1182 Troy Schenectady Rd
Suite Llo2
Latham, NY 12110-1026
Mailing address
1182 Troy Schenectady Rd
Suite Llo2
Latham, NY 12110-1095
Phone (518) 220-9705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00761702 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000464 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9032013420 |
Receives reassigned benefits from 18 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Amsterdam, NY; Schenectady, NY; Scotia, NY; West Sand Lake, NY |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Clifton Park, NY
- NPI 1093896755
O20031126000464
-
- Physical Therapist
- Schenectady, NY
- NPI 1407937154
O20031126000464
-
- Physical Therapist
- West Sand Lake, NY
- NPI 1124101977
O20031126000464
-
- Physical Therapist
- Schenectady, NY
- NPI 1144304247
O20031126000464
-
- Physical Therapist
- Troy, NY
- NPI 1245313097
O20031126000464
-
- Physical Therapist
- Amsterdam, NY
- NPI 1326129081
O20031126000464
-
- Physical Therapist
- Niskayuna, NY
- NPI 1477637569
O20031126000464
-
- Physical Therapist
- Colonie, NY
- NPI 1649351388
O20031126000464
-
- Physical Therapist
- Scotia, NY
- NPI 1669553376
O20031126000464
-
- Physical Therapist
- Cropseyville, NY
- NPI 1952565848
O20031126000464
-
- Physical Therapist
- Ballston Spa, NY
- NPI 1225346448
O20031126000464
National Provider Directory
National Provider DirectoryLocations
1182 Troy Schenectady Rd
Ste LLO2
Latham, NY 12110
Phone (518) 220-9705
42 Saratoga Rd
Scotia, NY 12302
Phone (518) 399-6861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1780894568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 TROY SCHENECTADY RD",
"address_2": "SUITE LLO2",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101095",
"telephone_number": "518-220-9705",
"fax_number": "518-220-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 TROY SCHENECTADY RD",
"address_2": "SUITE LLO2",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101026",
"telephone_number": "518-220-9705",
"fax_number": "518-220-9651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "COONEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
"authorized_official_telephone_number": "518-346-5168",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS,PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00761702",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.