CARRIE LYNN MALLISON (NPI# 1366877524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366877524 |
Entity Type | Individual |
Full Name | CARRIE LYNN MALLISON |
Credential | DPT |
Practice Address |
600 Northern Blvd Albany NY 12204 |
Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
Practice Telephone | 5184713221 |
Mailing Telephone | 5185255634 |
Mailing Fax Number | 5186494094 |
Enumeration Date | 2013-09-06 |
Last Update Date | 2019-05-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225100000X | Physical Therapist | 036529 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | RR MEDICARE | P01746461 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
711 Troy Schenectady Rd, Suite 214, Latham, NY 121102442 | 5187861667 | 5187861954 |
Street Address |
600 NORTHERN BLVD |
City | ALBANY |
State | NY |
Zip Code | 12204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538717038 | Brooke Anna Coticchio | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-08-28 |
1528628187 | Joni Ann Goldberg | Speech-Language Pathologist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-06-17 |
1326506122 | Alexis Erin Michele Lane | Nurse Practitioner | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-03-11 |
1093288300 | Giuseppe Ragonese | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-01-09 |
1225500416 | Misty Ash Jones | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
1235601428 | Deborah D'amico | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
1679089973 | Jessica Elizabeth Breda | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-12-21 |
1568985521 | Jordyn Diane Thiem | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-21 |
1144743436 | Lisa Marie Slade | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-19 |
1659891208 | Laura Segal | Physical Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
Find all providers in zip 12204 |
Taxonomy Code | 225100000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215542758 | Sita Shijie Sweet Wong | Physical Therapist | 718 Evelyn Ave, Albany, CA 94706-1707 | 2020-09-11 |
1801408885 | Clare Marie Herubin | Physical Therapist | 21 Fleetwood Ave, Albany, NY 12208-2307 | 2020-08-20 |
1386261063 | Yung-en Perng | Physical Therapist | 1241 Solano Ave Apt 24, Albany, CA 94706-1742 | 2020-06-29 |
1497381164 | Albany Physical Therapy Ltd Co | Physical Therapist | 445 Kenshalo St, Albany, TX 76430 | 2020-03-13 |
1790343325 | Jennifer Lynn Knox | Physical Therapist | 747 Madison Ave Ste 1, Albany, NY 12208-3385 | 2019-05-29 |
1043774839 | Anmare Sumaylo Catalan | Physical Therapist | 43 New Scotland Avenue, Mail Code 103, Albany, NY 12208-3479 | 2019-01-25 |
1093290066 | Jessica Nicole Nutter | Physical Therapist | 3 Atrium Dr Ste 110, Albany, NY 12205-1417 | 2018-09-26 |
1427545573 | Positive Motion Physical Therapy, Pllc | Physical Therapist | 21a Railroad Ave Ste B, Albany, NY 12205-5931 | 2018-04-15 |
1417493511 | Beth Markowitz | Physical Therapist | 407 Cornell Ave, Apt 12, Albany, CA 94706-1262 | 2017-01-12 |
1619410206 | Mackenzie Trevellyan | Physical Therapist | 1873 Western Ave Ste 102, Albany, NY 12203-5028 | 2016-11-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.