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

Maria A Commisso-Logan, DPT, PT

Individual provider Physical Therapist · NPI 1275163693

Maria A Commisso-Logan, DPT, PT is a Physical Therapist in Private Practice in Latham, New York. Qualified in 2019, 7 years ago. Practices with Nicolla and Associates PT and OT Services PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
7
Licensed in
MA, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

711 Troy Schenectady Rd Ste 214
Latham, NY 12110-2461
Phone: (518) 690-2882
Fax: (518) 690-2884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 045110-01 (NY)
Physical Therapist Taxonomy 225100000X · Licence 24729 (MA)

Record details

NPI number1275163693
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nicolla And Associates Pt And Ot Services Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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