Thomas Joseph Houghtalen, DPT, MTC
Individual provider Active NPI Physical Therapist · Scotia, NY
NPI 1902865629 · NPPES record last updated Jan 9, 2012
Key facts
- NPI
- 1902865629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0067260 (NY)
- Practice address
- 42 Saratoga Road
Scotia, NY 12302 - Phone
- (518) 399-0062
- Fax
- (518) 399-4513
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Montefiore Medical Center
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
42 Saratoga Rd
Scotia, NY 12302-3412
Phone (518) 399-6861
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111117000425 | NY | Practitioner - Physical Therapist in Private Practice | 1254223688 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0067260 | NY | MD | Physical Therapist |
Practice roles (9 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Associates of Schenectady, PC | Physical Therapist | Current |
Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Current |
Accepting new patients |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates of Schenectady | Physical Therapist | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
2345 Nott St E
#100
Niskayuna, NY 12309
Phone (518) 374-2242
42 Saratoga Rd
Scotia, NY 12302
Phone (518) 399-6861
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0067260 | NY | Yes |
Addresses
Primary practice location
42 Saratoga Road
Scotia, NY 12302
Mailing address
42 Saratoga Road
Scotia, NY 12302
Phone (518) 399-0062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00762703 | Medicaid | NY |
Other providers in Scotia, NY
- Christina Harrington Stutzmann
- Elizabeth C Heagle
- Virginia Louise Hemmerle
- Mary Hendrickson
- Richard Jay Hoskinson
- Katie J Hunter
- Tara Hutchings
- Chul Hwang
- Gabriella Iwan
- Karen Ann Jarosz
All providers in Scotia, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.