Aviad B Gebrehiwot, PT, DPT, MS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT033142 Issued in PA

Practice address

4059 Jandy Blvd
Nazareth, PA 18064-8819

Phone

(484) 503-6465

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Luke's Hospital

  dba St. Luke's Hospital - Anderson Campus

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1003613472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 INDIAN RUN PKWY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223126438",
            "telephone_number": "703-582-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 JANDY BLVD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648819",
            "telephone_number": "484-503-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREHIWOT",
        "first_name": "AVIAD",
        "middle_name": "B",
        "credential": "PT, DPT, MS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "4059 Jandy Blvd",
            "city": "Nazareth",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180648819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Joseph Free, DC
• Nicole Fritz
• Jonanthony G Gagliardi, MD
• Allen Mark Garingan
• Jasmine Garmony, MA
• George Manja LLC (Northstar Urgent Care)
• George Manja LLC (Northstar Rehabilitation)
• Jessica Giglio, MS. CCC-SLP
• Golden Angels Home Care Services LLC
• Caitlyn Grace Goldsmith

• Physical Therapist in Nazareth, PA
• Providers in Nazareth, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.