NPIMap

Organization Active NPI

Lamarco Physical Therapy PC

  • Physical Therapist
  • Ballston Spa, NY
National Provider Identifier
1790774727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LAMARCO PHYSICAL THERAPY PC
Practice address
417 Geyser Rd
Ballston Spa, NY 12020-3022
Phone
(518) 587-3256
Fax
(518) 587-5210
NPI assigned
Oct 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Jonna A Lamarco, PTNPI 1962491977
Title
President
Phone
(518) 587-3256

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

417 Geyser Rd
Ballston Spa, NY 12020-3022

Mailing address

417 Geyser Rd
Ballston Spa, NY 12020-3022
Phone (518) 587-3256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000554 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810950169 Receives reassigned benefits from 5 practitioners
Practice locations: Saratoga Springs, NY; Ballston Spa, NY

National Provider Directory

National Provider Directory

Locations

417 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 587-3256

417 Geyser Rd
Ste 100
Ballston Spa, NY 12020

538 Maple Ave
Saratoga Springs, NY 12866
Phone (518) 587-3256

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790774727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 GEYSER RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-587-3256",
            "fax_number": "518-587-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GEYSER RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203022",
            "telephone_number": "518-587-3256",
            "fax_number": "518-587-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMARCO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMARCO",
        "authorized_official_first_name": "JONNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-587-3256",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, 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.
  • 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.