Basic Information
| Provider Information | |||||||||
| NPI: | 1447622659 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ORTHONY PHYSICAL THERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 121 EVERETT RD | ||||||||
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| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122051474 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 103 SITTERLY RD | ||||||||
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| City: | HALFMOON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120655612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5184539088 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2015 | ||||||||
| LastUpdateDate: | 10/27/2015 | ||||||||
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| AuthorizedOfficialLastName: | GERRY | ||||||||
| AuthorizedOfficialFirstName: | DIANE | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR, PATIENT FINANCIAL SERVICE | ||||||||
| AuthorizedOfficialTelephone: | 5184539088 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | ORTHOPEDICSNY LLP | ||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.