# PRO-ACTIVE PHYSICAL THERAPY AND ATHLETIC TRAINING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073670402
- **Authorized official:** RANDALL PACATTE PT (OWNER)
- **Authorized official phone:** (518) 234-7760

## Contact information

- **Practice address:** 2403 STATE ROUTE 7, STORE \#5, COBLESKILL, NY 12043-5740
- **Practice address phone:** (518) 234-7760
- **Mailing address:** 2403 STATE ROUTE 7, STORE \#5, COBLESKILL, NY 12043-5740
- **Mailing address phone:** (518) 234-7760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | — | — |
| 2255A2300X | Athletic Trainer | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 09/11/2025
