NPIMap

Organization Active NPI

Orthopedic & Spine Physical Therapy PC

  • Physical Therapist
  • Queensbury, NY
National Provider Identifier
1871685388
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC & SPINE PHYSICAL THERAPY PC
Practice address
3 Hunter Brook LN
Queensbury, NY 12804-5858
Phone
(518) 793-0891
Fax
(518) 793-2936
NPI assigned
Sep 29, 2006
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Denise D Buher, PTNPI 1376626333
Title
President Owner
Phone
(518) 793-0891

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 Therapist 225100000X NY Primary

Addresses

Primary practice location

3 Hunter Brook LN
Queensbury, NY 12804-5858

Mailing address

3 Hunter Brook LN
Queensbury, NY 12804-5858
Phone (518) 793-0891

Other identifiers 1

IdentifierTypeStateIssuer
Q8W382OtherBLUECROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001169 NY Part B Supplier - Clinic/Group Practice 3072404839 Receives reassigned benefits from 8 practitioners
Practice locations: Fort Edward, NY; Queensbury, NY

National Provider Directory

National Provider Directory

Locations

3 Hunter Brook Ln
Queensbury, NY 12804
Phone (518) 793-0891

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1871685388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HUNTER BROOK LN",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045858",
            "telephone_number": "518-793-0891",
            "fax_number": "518-793-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HUNTER BROOK LN",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045858",
            "telephone_number": "518-793-0891",
            "fax_number": "518-793-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BUHER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "518-793-0891",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "Q8W382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.