Active NPI
Tristan Todd McDonald, PTA
- Physical Therapy Assistant
- Saranac Lake, NY
National Provider Identifier
1881994549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 22344
- Practice address
- 67 Will Rogers Dr
3D
Saranac Lake, NY 12983-2481 - Phone
- (518) 637-8930
- NPI assigned
- Oct 28, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 22344 | FL | Primary |
Addresses
Primary practice location
67 Will Rogers Dr
3D
Saranac Lake, NY 12983-2481
Mailing address
67 Will Rogers Dr
3D
Saranac Lake, NY 12983-2481
Phone (518) 637-8930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 22344 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1881994549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 WILL ROGERS DR",
"address_2": "3D",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129832481",
"telephone_number": "518-637-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 WILL ROGERS DR",
"address_2": "3D",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129832481",
"telephone_number": "518-637-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "TRISTAN",
"middle_name": "TODD",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 22344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.