Thomas Christopher Nicolla Jr, PT | |
711 Troy Schenectady Rd, Suite 214, Latham, NY 12110 | |
(518) 690-2882 | |
(518) 690-2884 |
Full Name | Thomas Christopher Nicolla Jr |
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Gender | Male |
Speciality | Physical Therapist |
Location | 711 Troy Schenectady Rd, Latham, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043279847 | NPI | - | NPPES |
01146607 | Medicaid | NY | |
650021313 | Other | NY | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 003627-1 (New York) | Primary |
Provider Name | Thomas Nicolla Consulting Services Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487633152 PECOS PAC ID: 7315836848 Enrollment ID: O20040624000511 |
Mailing Address | Practice Location Address |
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Thomas Christopher Nicolla Jr, PT 711 Troy Schenectady Rd, Suite 209, Latham, NY 12110-2442 Ph: (518) 786-1667 | Thomas Christopher Nicolla Jr, PT 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110 Ph: (518) 690-2882 |
Ms. Marianne Elizabeth Vrobel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1182 Troy Schenectady Rd, Suite Ll02, Latham, NY 12110 Phone: 518-220-9705 Fax: 518-220-9651 | |
Dr. Sarah Catherine Clift, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Loudon Rd, Latham, Ny 12110, Latham, NY 12110 Phone: 518-348-9613 | |
Mr. Richard J. Waite, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 250 Old Loudon Rd, Latham, NY 12110 Phone: 518-489-2020 | |
Trisha Mackenzie, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110 Phone: 518-690-2882 Fax: 518-690-2884 | |
Ketaki Nagarkar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Century Hill Dr Ste 104, Latham, NY 12110 Phone: 518-713-4106 | |
Melissa Anne Ailor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Suite 214, Latham, NY 12110 Phone: 518-690-2882 Fax: 518-690-2884 |