Organization Active NPI

Weston Paxxon PT, OT & SLP, PLLC.

  • Physical Therapist
  • Queensbury, NY
National Provider Identifier
1902137383
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WESTON PAXXON PT, OT & SLP, PLLC.
Practice address
68 Quaker Rd
Queensbury, NY 12804-1711
Phone
(518) 793-7429
Fax
(518) 793-7624
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Roger Berkley, P.T.
Title
Part Owner
Phone
(631) 467-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

68 Quaker Rd
Queensbury, NY 12804-1711

Mailing address

20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700

Other names 1

  • Weston Paxxon Physical Therapy Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1902137383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 QUAKER RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041711",
            "telephone_number": "518-793-7429",
            "fax_number": "518-793-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON PAXXON PT, OT & SLP, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "BERKLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "631-467-3700",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weston Paxxon Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 25, 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.