Pro-active Physical Therapy And Athletic Training, Pllc is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in Cobleskill, New York. Their current practice location is
2403 State Route 7, Store #5, Cobleskill, New York. You can reach out to their office (for appointments etc.) via phone at
(518) 234-7760.
Pro-active Physical Therapy And Athletic Training, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro-active Physical Therapy And Athletic Training, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073670402.
Healthcare Provider's Profile
Full Name | Pro-active Physical Therapy And Athletic Training, Pllc |
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Type | Facility |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 2403 State Route 7, Cobleskill, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073670402
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 7012017288
- Enrollment ID: O20070717000624
Medical Identifiers
Medical identifiers for Pro-active Physical Therapy And Athletic Training, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073670402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pro-active Physical Therapy And Athletic Training, Pllc acts as a billing entity for following providers:
Provider Name | Randall P Pacatte |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1093872426 PECOS PAC ID: 6002916277 Enrollment ID: I20070717000643 |
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Provider Name | Ashley Lynn Martin |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1770062093 PECOS PAC ID: 8426308552 Enrollment ID: I20180911000587 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pro-active Physical Therapy And Athletic Training, Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pro-active Physical Therapy And Athletic Training, Pllc 2403 State Route 7, Store #5, Cobleskill, NY 12043-5740 Ph: (518) 234-7760 | Pro-active Physical Therapy And Athletic Training, Pllc 2403 State Route 7, Store #5, Cobleskill, NY 12043-5740 Ph: (518) 234-7760 |
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