Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly T Bascom, PTA

Individual provider Physical Therapy Assistant · NPI 1821305194

Kimberly T Bascom, PTA is a Physical Therapy Assistant in Queensbury, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

429 Aviation Rd
Queensbury, NY 12804-2914
Phone: (518) 824-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 005165 (NY)

Record details

NPI number1821305194
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 8, 2010
Last updated in NPPESSeptember 8, 2010
Mailing address14 Factory St, Granville, NY 12832-1312

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