Athletic Dynamics LLC
Organization Active NPI Physical Therapy Clinic/Center · Albany, NY
NPI 1912966409 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1912966409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Mark Vanleuven, PT CSCS
- Title
- Owner Chief Operating Officer
- Phone
- (518) 641-6775
Practitioners 65
-
Debra Aberdale, NP
-
Hasan N Atalay, MD
-
Robert E Benton, MD
-
Lewis W Britton, MD
-
Karen E Canniff, NP
-
Margaret Cipperly, FNP
-
Krzysztof Drzymalski, M.D.
-
Martin P Echt, MD
-
Daniel W Esper, MD
-
Jenna Fabozzi, NP
-
Ramon A. Fabregas, M.D.
-
Ruslan Feygin, DO
-
Michelle Young Giwerc, PA-C
-
Connor Dean Healey, M.D.
-
Carl Alexander Heinecke, M.D., MPH
-
Barbara Geral Hendrick, RPA C
-
Riivo Ilves, MD
National Provider Directory
Locations
7 Southwoods Blvd
Fl 4
Albany, NY 12211
Phone (518) 641-6775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02251054 | Medicaid | NY |
Other providers in Albany, NY
- Hasan N Atalay
- Juliana K Atallah
- Crystal Atchinson
- Mary Atchinson
- Ian Alexander Ates
- Glorimar Atiles
- Attentive Care of Albany, Inc
- Attentive Care of Albany, Inc
- Attentive Home Companions, Inc
- Attentive Services, Inc.
All providers in Albany, NY · Physical Therapy Clinic/Center 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 Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.