Active NPI
Marcin Standa
- Geriatric Physical Therapist
- Clifton Park, NY
National Provider Identifier
1851668156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 021042-1
- Practice address
- 7 Oakleaf Dr
Clifton Park, NY 12065 - Phone
- (518) 588-9022
- NPI assigned
- Nov 30, 2011
- Last updated
- Nov 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 021042-1 | NY | Primary |
Addresses
Primary practice location
7 Oakleaf Dr
Clifton Park, NY 12065
Mailing address
7 Oakleaf Dr
Clifton Park, NY 12065-6234
Phone (518) 588-9092
Other names 1
- Marcin Standa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021042-1 | NY | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Occupational and Physical Therapy Speech Language | Current | Accepting new patients |
Locations
81 Mohawk St
Cohoes, NY 12047
Phone (518) 220-9933
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Contractor
- Cohoes, NY
- NPI 1679946586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1851668156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 OAKLEAF DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120656234",
"telephone_number": "518-588-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 OAKLEAF DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "12065",
"telephone_number": "518-588-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDA",
"first_name": "MARCIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "021042-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCIN",
"last_name": "STANDA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Clifton Park, NY
- St. Peter's Health Partners Medical Associates, P.C.
- St. Peter's Health Partners Medical Associates, P.C.
- Gregg R St.Clair, L.AC.
- Cathern St.George
- Kimberly Marie Stack, PMHNP-BC
- Jeff Corey Starr, O.D.
- Nancy Starr, O.D.
- Suzanne Lyn Steimer-Wolfe, LPN
- Jason Harrison Steindler, DO
- Stephen Carson Physician Assistant
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.