Provider Demographics
NPI:1952565848
Name:PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY, P.C.
Entity type:Organization
Organization Name:PHYSICAL THERAPY ASSOCIATES OF SCHENECTADY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:COONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, DPT
Authorized Official - Phone:518-346-5168
Mailing Address - Street 1:3991 STATE RTE 2
Mailing Address - Street 2:
Mailing Address - City:CROPSEYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12052-9998
Mailing Address - Country:US
Mailing Address - Phone:518-346-5168
Mailing Address - Fax:
Practice Address - Street 1:3991 STATE RTE 2
Practice Address - Street 2:
Practice Address - City:CROPSEYVILLE
Practice Address - State:NY
Practice Address - Zip Code:12052-9998
Practice Address - Country:US
Practice Address - Phone:518-346-5168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1821056342Medicare NSC