NPIMap

Organization Active NPI

Joan M Mack RPT

  • Physical Therapist
  • Schenectady, NY
National Provider Identifier
1841289865
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOAN M MACK RPT
Practice address
1574 Union St
Schenectady, NY 12309-6120
Phone
(513) 374-2127
Fax
(518) 374-2142
NPI assigned
Oct 21, 2005
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Joan M Mack, PTNPI 1609866011
Title
Physical Therapist
Phone
(518) 374-2127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1574 Union St
Schenectady, NY 12309-6120

Mailing address

1574 Union St
Schenectady, NY 12309-6120
Phone (513) 374-2127

Other identifiers 1

IdentifierTypeStateIssuer
0184495MedicaidNY

Other names 1

  • Joan Mack PT & Associates Other name

National Provider Directory

National Provider Directory

Locations

1574 Union St
Schenectady, NY 12309
Phone (518) 374-2127

Practitioners & affiliated clinicians

Practitioners 7

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": "1284422400000",
    "number": "1841289865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096120",
            "telephone_number": "513-374-2127",
            "fax_number": "518-374-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123096120",
            "telephone_number": "513-374-2127",
            "fax_number": "518-374-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN M MACK RPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-374-2127",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joan Mack PT & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.