Organization Active NPI

Physical Therapy Associates of Schenectady, P.C.

  • Physical Therapist
  • Latham, NY
National Provider Identifier
1780894568
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00761702MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.