NPIMap

Organization Active NPI

Athletic Dynamics LLC

  • Physical Therapy Clinic/Center
  • Albany, NY
National Provider Identifier
1912966409
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ATHLETIC DYNAMICS LLC
Practice address
7 Southwoods Blvd
4TH FL, Athletic Dynamics LLC
Albany, NY 12211-2526
Phone
(518) 641-6775
Fax
(518) 292-6085
NPI assigned
Mar 22, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mark Vanleuven, PT CSCSNPI 1114994266
Title
Owner Chief Operating Officer
Phone
(518) 641-6775

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7 Southwoods Blvd
4TH FL, Athletic Dynamics LLC
Albany, NY 12211-2526

Mailing address

7 Southwoods Blvd, 4TH FL
Athletic Dynamics LLC C/O Capitol Cardiology Assoc
Albany, NY 12211-2526
Phone (518) 641-6775

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1912966409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD, 4TH FL",
            "address_2": "ATHLETIC DYNAMICS LLC C/O CAPITOL CARDIOLOGY ASSOC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112526",
            "telephone_number": "518-641-6775",
            "fax_number": "518-292-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "address_2": "4TH FL, ATHLETIC DYNAMICS LLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112526",
            "telephone_number": "518-641-6775",
            "fax_number": "518-292-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "VANLEUVEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "518-641-6775",
        "authorized_official_credential": "PT CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.