| Seaver Koufax Martin, PT | |
| 121 Everett Rd, Albany, NY 12205-1474 | |
| (518) 489-2663 | |
| (518) 689-3728 | 
| Full Name | Seaver Koufax Martin | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 121 Everett Rd, Albany, 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 | 
|---|---|---|---|
| 1710768320 | NPI | - | NPPES | 
| 07832451 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary | 
| 225100000X | Physical Therapist | 050748 (New York) | Primary | 
| Provider Name | Orthopedicsny, Llp | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1568415412 PECOS PAC ID: 6901898170 Enrollment ID: O20040330001750 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Seaver Koufax Martin, PT 121 Everett Rd, Albany, NY 12205-1474 Ph: (518) 489-2663 | Seaver Koufax Martin, PT 121 Everett Rd, Albany, NY 12205-1474 Ph: (518) 489-2663 | 
| Jordan Iris Goslowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Watervliet Shaker Rd, Suite 102, Albany, NY 12205 Phone: 518-862-4900 | |
| Yuan Kenneth Jin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd Ste 200, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
| Penelope M Blasch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
| Heather M. Lacasse, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd Health Park, Albany, NY 12205 Phone: 518-489-2524 Fax: 518-489-3167 | |
| Marianna Vaysman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 281 Sand Creek Rd, Albany, NY 12205 Phone: 518-459-1292 Fax: 518-459-1296 | |
| Kimberly Silvernail Keane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273 | |
| Dr. Janel Lena Carver, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Clinton Ave Apt 1, Albany, NY 12210 Phone: 914-299-9514 |