Individual provider Active NPI

Thomas Joseph Houghtalen, DPT, MTC

  • Physical Therapist
  • Scotia, NY
National Provider Identifier
1902865629
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0067260 Issued in NY
Practice address
42 Saratoga Road
Scotia, NY 12302
Phone
(518) 399-0062
Fax
(518) 399-4513
NPI assigned
Mar 21, 2006
Last updated
Jan 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0067260 NY Primary

Addresses

Primary practice location

42 Saratoga Road
Scotia, NY 12302

Mailing address

42 Saratoga Road
Scotia, NY 12302
Phone (518) 399-0062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000425 NY Practitioner - Physical Therapist in Private Practice 1254223688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0067260NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Current Accepting new patients
Physical Therapy Associates of Schenectady, P.C. Physical Therapist CurrentSince Apr 14, 1997 Accepting new patients
Montefiore Medical Center CurrentSince Jun 16, 2025 Accepting new patients
Physical Therapy Associates of Schenectady, PC Physical Therapist CurrentSince Nov 1, 1982 Accepting new patients
Physical Therapy Associates of Schenectady, P.C. Physical Therapist Current Accepting new patients
Montefiore Medical Center CurrentSince Jun 16, 2025 Accepting new patients
Physical Therapy Associates of Schenectady Physical Therapist Past 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

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 H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1902865629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SARATOGA ROAD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "12302",
            "telephone_number": "518-399-0062",
            "fax_number": "518-399-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SARATOGA ROAD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "12302",
            "telephone_number": "518-399-0062",
            "fax_number": "518-399-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTALEN",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0067260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.