SPORTS THERAPY ALBANY PT, PC D/B/A (NPI# 1437191830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437191830 |
| Entity Type | Organization |
| Organization Name | SPORTS THERAPY ALBANY PT, PC D/B/A |
| Other Organization Name | ALBANY PHYSICAL THERAPY |
| Practice Address |
4 Executive Park Dr Albany NY 12203-3718 |
| Mailing Address |
21 Hawthorne Ave Delmar NY 12054-3118 |
| Practice Telephone | 5184892449 |
| Mailing Telephone | 5184394543 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | THOMAS F FASHOUER (DITECTOR) |
| Authorized Official Telephone | 5184892449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
009771-1 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Albany Physical Therapy | Doing Business As Name - Organization |
| Street Address |
4 EXECUTIVE PARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314805 | Thomas F. Fashouer | Specialist/Technologist | 4 Executive Park Dr, Albany Physical Therapy, Albany, NY 12203-3718 | 2005-08-29 |
| 1578045258 | Juwon Park Dmd PC | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-08-30 |
| 1265936496 | Purificato Physical Therapy Pllc | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-03-21 |
| 1649799636 | James Nalbone, Md Pllc | Psychiatry & Neurology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2017-09-12 |
| 1962883595 | Terence Hoyt | Counselor | 4 Executive Park Dr, Ste 201, Albany, NY 12203-3718 | 2015-06-09 |
| 1831529098 | Sphpma Crus Urology | Urology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2013-11-25 |
| 1184979171 | Capital Region Urological Surgeons | Specialist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-07-17 |
| 1164781837 | Phrances Blay Hinch | Nurse Practitioner | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-05-15 |
| 1942529631 | Subrata Mukherjee | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-05-20 |
| 1720300296 | Andrea Berkowitz Lcsw | Social Worker | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336370683 | Raymon Stephen Webster Iv | Clinic/Center | 21a Railroad Ave, Unit B, Albany, NY 12205-5931 | 2009-08-04 |
| 1437275542 | Occupational Health Centers of New York, P.a., P.C. | Clinic/Center | 10b Madison Ave. Extension, Albany, NY 12203 | 2007-03-21 |
| 1508917667 | Advanced Rehab Center Inc | Clinic/Center | 709-a North Westover Blvd., Suite A, Albany, GA 31707 | 2007-01-16 |
| 1265936496 | Purificato Physical Therapy Pllc | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-03-21 |
| 1609241447 | St. Cloud Hospital | Clinic/Center | 30 Railroad Ave, Albany, MN 56307-9379 | 2015-12-04 |
| 1992199657 | 360 Therapy, LLC | Clinic/Center | 19089 Florida Blvd, Albany, LA 70711-3603 | 2015-03-20 |
| 1346393790 | Thomas Niccolla Consulting Services, Pllc | Clinic/Center | 3 Atrium Dr, Suite 110, Albany, NY 12205-1417 | 2007-01-19 |
| 1568488070 | Karin Kuck | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2006-07-15 |
| 1912966409 | Athletic Dynamics LLC | Clinic/Center | 7 Southwoods Blvd, 4th Fl, Athletic Dynamics LLC, Albany, NY 12211-2526 | 2006-03-22 |
| 1841292430 | Advanced Physical Therapy of Albany, PC | Clinic/Center | 747 Madison Ave, Suite 1, Albany, NY 12208-3392 | 2005-08-12 |
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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.