Active NPI
Mandy Dreisenstock, PT
- Physical Therapist
- Albany, NY
National Provider Identifier
1932138450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021568
- Practice address
- 600 Northern Blvd
Albany, NY 12204-1004 - Phone
- (518) 471-3195
- NPI assigned
- Jun 30, 2006
- Last updated
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021568 | NY | Primary |
Addresses
Primary practice location
600 Northern Blvd
Albany, NY 12204-1004
Mailing address
2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021568 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shirley a Maloney PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Physical Therapist
- Colonie, NY
- NPI 1558530857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1932138450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EMPIRE DR",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121445730",
"telephone_number": "518-286-4990",
"fax_number": "518-286-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NORTHERN BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041004",
"telephone_number": "518-471-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREISENSTOCK",
"first_name": "MANDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021568",
"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 Feb 22, 2019; 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.