Organization Active NPI

Guilderland Physical Therapy

  • Physical Therapist
  • Guilderland, NY
National Provider Identifier
1891845202
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GUILDERLAND PHYSICAL THERAPY
Practice address
2563 Western Avenue
Guilderland, NY 12084
Phone
(518) 456-6097
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Arthur Demoree, PTNPI 1174673586
Title
Owner
Phone
(518) 456-6097

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2563 Western Avenue
Guilderland, NY 12084

Mailing address

PO Box 69
2563 Western Avenue
Guilderland, NY 12084-0069
Phone (518) 456-6097

National Provider Directory

National Provider Directory

Locations

2563 Western Ave
Altamont, NY 12009
Phone (518) 452-0655

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1891845202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "address_2": "2563 WESTERN AVENUE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120840069",
            "telephone_number": "518-456-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 WESTERN AVENUE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "12084",
            "telephone_number": "518-456-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILDERLAND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DEMOREE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-456-6097",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.