Individual provider Active NPI

Rebecca Lusignan, MSPT

  • Physical Therapist
  • Fort Edward, NY
National Provider Identifier
1982088043
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038778 Issued in NY
Practice address
220 Broadway
Fort Edward, NY 12828-1502
Phone
(518) 338-3482
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038778 NY Primary

Addresses

Primary practice location

220 Broadway
Fort Edward, NY 12828-1502

Mailing address

23 Sitterly Rd
Halfmoon, NY 12065-5613

Other practice location 1

23 Sitterly Rd
Halfmoon, NY 12065-5613
Phone (518) 899-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23 Sitterly Rd
Halfmoon, NY 12065-5613

3 Congdon Rd
South Glens Falls, NY 12803-5403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038778NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newmeadow, Inc. CurrentSince Mar 5, 2023 Accepting new patients

Locations

23 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 899-9235

100 Saratoga Village Blvd
Ste 35
Malta, NY 12020
Phone (518) 899-9235

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1982088043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SITTERLY RD",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BROADWAY",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281502",
            "telephone_number": "518-338-3482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Sitterly Rd",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120655613",
            "country_code": "US",
            "telephone_number": "518-899-9235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSIGNAN",
        "first_name": "REBECCA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Edward, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.