Active NPI
Aimee Croteau
- Physical Therapist
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046671
- Practice address
- 711 Troy Schenectady Rd Ste 214
Latham, NY 12110-2461 - Phone
- (518) 690-2882
- Fax
- (518) 690-2884
- NPI assigned
- Dec 3, 2020
- 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 | 046671 | NY | Primary |
Addresses
Primary practice location
711 Troy Schenectady Rd Ste 214
Latham, NY 12110-2461
Mailing address
711 Troy Schenectady Rd Ste 209
Latham, NY 12110-2481
Phone (518) 786-1667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201222002514 | NY | Practitioner - Physical Therapist in Private Practice | 9133531825 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
711 Troy Schenectady Rd
Suite 209
Latham, NY 12110-2461
Phone (518) 786-1667
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046671 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Nicolla Consulting Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Nicolla and Associates, PT & OT Services, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
711 Troy Schenectady Rd
Ste 214
Latham, NY 12110
Phone (518) 690-2882
711 Troy Schenectady Rd
Ste 209
Latham, NY 12110
Phone (518) 786-1667
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 and National Provider Directory roles.
-
- Specialist
- Latham, NY
- NPI 1487633152
NY, Physical Therapist
-
- Physical Therapist
- Stamford, NY
- NPI 1770636060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1962007310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 209",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102481",
"telephone_number": "518-786-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 214",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-690-2882",
"fax_number": "518-690-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTEAU",
"first_name": "AIMEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.