AMPT
NPI 1760772701
Physical Therapist in Queensbury, NY

Active since April 11, 2011
578 AVIATION RD STE 30, QUEENSBURY, NY 12804(518) 538-8778 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ampt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMPT (NPI 1760772701) is a healthcare organization registered as a physical therapist in Queensbury, New York and active in the NPI registry since April 2011. The organization lists Adam M Willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1760772701
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameADIRONDACK MANUAL PHYSICAL THERAPY, PLLC
Location Address578 AVIATION RD STE 30Queensbury, NY 12804-1814
Mailing Address221 Main StSouth Glens Falls, NY 12803-5118 · (518) 225-5049
Organization SubpartNo
Authorized OfficialAdam M WillisOwner · (518) 255-5049
Enumeration DateApril 11, 2011
Last NPPES UpdateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1760772701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 027046-1
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
578 AVIATION RD STE 30, Queensbury, NY 12804

Other Names 1

Other NameAmpt

Other Identifiers 1

Medicaid02739691NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ampt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110720000716Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ampt, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1073614285
206 GLEN ST SUITE #52
Glens Falls, NY 12801
(518) 538-8778
✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adirondack Manual Physical Therapy, PLLC's NPI number?

The NPI number for Adirondack Manual Physical Therapy, PLLC is 1760772701. It was assigned to this organization in the NPPES registry on April 11, 2011. The provider is also known as Ampt.

Where is Adirondack Manual Physical Therapy, PLLC located?

Adirondack Manual Physical Therapy, PLLC is located at 578 Aviation Rd Ste 30, Queensbury, NY 12804. The listed phone number is (518) 538-8778.

What is Adirondack Manual Physical Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Adirondack Manual Physical Therapy, PLLC enrolled in Medicare?

Yes. Adirondack Manual Physical Therapy, PLLC is registered in the Medicare PECOS enrollment system.

When is Adirondack Manual Physical Therapy, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Adirondack Manual Physical Therapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Adirondack Manual Physical Therapy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Adirondack Manual Physical Therapy, PLLC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.