NPIMap

Organization Active NPI

John W Repsher PT, LLC

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1922024298
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOHN W REPSHER PT, LLC
Practice address
2 Computer Dr W
Ste 200
Albany, NY 12205-1622
Phone
(518) 489-2524
Fax
(518) 489-3167
NPI assigned
Jul 13, 2006
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
John W Repsher, PT
Title
Owner/Physical Therapist
Phone
(518) 489-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2 Computer Dr W
Ste 200
Albany, NY 12205-1622

Mailing address

2 Computer Dr W
Ste 200
Albany, NY 12205-1622
Phone (518) 489-2524

Other identifiers 1

IdentifierTypeStateIssuer
02871387MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051227000559 NY Part B Supplier - Clinic/Group Practice 2860414349 Receives reassigned benefits from 12 practitioners
Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

14 Computer Dr E
Albany, NY 12205
Phone (518) 489-2524

2 Computer Dr W
Ste 200
Albany, NY 12205
Phone (518) 489-2524

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1922024298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COMPUTER DR W",
            "address_2": "STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051622",
            "telephone_number": "518-489-2524",
            "fax_number": "518-489-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COMPUTER DR W",
            "address_2": "STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051622",
            "telephone_number": "518-489-2524",
            "fax_number": "518-489-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W REPSHER PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "REPSHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-489-2524",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02871387",
            "state": "NY"
        }
    ],
    "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 Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.