ATHLETIC DYNAMICS LLC (NPI# 1912966409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912966409 |
| Entity Type | Organization |
| Organization Name | ATHLETIC DYNAMICS LLC |
| Practice Address |
7 Southwoods Blvd 4th Fl, Athletic Dynamics LLC Albany NY 12211-2526 |
| Mailing Address |
7 Southwoods Blvd, 4th Fl Athletic Dynamics LLC C/o Capitol Cardiology Assoc Albany NY 12211-2526 |
| Practice Telephone | 5186416775 |
| Practice Fax Number | 5182926085 |
| Mailing Telephone | 5186416775 |
| Mailing Fax Number | 5182926085 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | MARK VANLEUVEN (OWNER CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5186416775 |
| Authorized Official Credential | PT CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02251054 | 05 |
| Street Address |
7 SOUTHWOODS BLVD 4TH FL, ATHLETIC DYNAMICS LLC |
| City | ALBANY |
| State | NY |
| Zip Code | 12211-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345326 | Michael Paul Bernstein | Internal Medicine | 7 Southwoods Blvd, Capital Cardiology Associates PC, Albany, NY 12211-2526 | 2005-06-08 |
| 1598373482 | Validus Medical, PC | Anesthesiology | 7 Southwoods Blvd, 3rd Floor Capital Cardiology, Albany, NY 12211-2526 | 2020-07-17 |
| 1134753577 | Alexandra K Drzymalski | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2020-02-25 |
| 1679122782 | Alyssa Hare | Physician Assistant | 7 Southwoods Blvd, Albany, NY 12211 | 2019-09-11 |
| 1568928737 | Rebecca Lynn Stiles | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2019-02-13 |
| 1508347618 | Jesuit P Nugas | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2018-08-27 |
| 1497113856 | Melissa A Raduazzo | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2016-02-01 |
| 1043688112 | Darshaney D Sankhar | Nurse Practitioner | 7 Southwoods Blvd, Capital Cardiology Associates PC, Albany, NY 12211-2526 | 2015-09-08 |
| 1942616552 | Jenna Fabozzi | Nurse Practitioner | 7 Southwoods Blvd, Albany, NY 12211 | 2014-07-02 |
| 1184066870 | Amanda Schaffer | Physician Assistant | 7 Southwoods Blvd, Albany, NY 12211 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086260 | Karen E Canniff | Nurse Practitioner | 7 Southwoods, Blvdcapital Cardiology Associates, PC, Albany, NY 12211 | 2017-07-25 |
| 1881931335 | Arvinder Singh | Anesthesiology | 12 Fenway Drive, Albany, NY 12211 | 2013-01-03 |
| 1174795694 | Quik Flight | Ambulance | 16 Jetway Drive, Albany, NY 12211 | 2008-03-25 |
| 1164543732 | Judith C Tate | Psychologist | 46 Green Meadows Lane, Loudonville, NY 12211 | 2007-04-02 |
| 1942305776 | Christopher J Lyons | Dentist | 476 Albany Shaker Rd, Loudonville, NY 12211 | 2006-09-14 |
| 1831293562 | Antonio Boncordo | Dentist | 515 1/2 Albany Shaker Rd, Loudonville, NY 12211 | 2006-09-12 |
| 1417060575 | Laura Rodolakis | Nurse Practitioner | Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 | 2006-08-15 |
| 1326524331 | Anthony Jones Md | Skilled Nursing Facility | 780 Albany Shaker Rd, Albany, NY 12211 | 2018-07-12 |
| 1366943755 | Colleen M O'keeffe | Nurse Practitioner | Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 | 2018-02-22 |
| 1285907998 | Michelle G Vasilakis | Speech-Language Pathologist | 30 Southgate Rd, Loundonville, NY 12211 | 2012-02-13 |
| Find all providers in zip 12211 | ||||
| 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 |
| 1437191830 | Sports Therapy Albany Pt, PC D/b/a | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2006-06-11 |
| 1841292430 | Advanced Physical Therapy of Albany, PC | Clinic/Center | 747 Madison Ave, Suite 1, Albany, NY 12208-3392 | 2005-08-12 |
| Find all providers in ALBANY | ||||
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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.