Active NPI
Susan B Gottesfeld, P.T.
- Physical Therapist
- Port Washington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012180-1
- Practice address
- 1 Sandy Hollow Rd
Port Washington, NY 11050-2521 - Phone
- (516) 318-8546
- Fax
- (516) 767-1181
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012180-1 | NY | Primary |
Addresses
Primary practice location
1 Sandy Hollow Rd
Port Washington, NY 11050-2521
Mailing address
1 Sandy Hollow Rd
Port Washington, NY 11050-2521
Phone (516) 318-8546
Other practice location 1
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 344-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
127 E Main St
Smithtown, NY 11787-2840
Phone (631) 880-7577
309 Northwest Dr
Farmingdale, NY 11735-4935
Phone (516) 420-2900
3941 Bea CT
Oceanside, NY 11572-5907
Phone (516) 459-9439
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012180 | NY | MD | Psychologist |
| 012180-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Home Advantage Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Patriot Family Medical Associates PLLC | Current | Accepting new patients | |
| Metro PT OT and SLP Health PLLC | Physical Therapist | Current | Accepting new patients |
| Visiting PT OT Services PLLC | Physical Therapist | Current | Accepting new patients |
| Reddy Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844
309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900
27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030
800 E Gate Blvd
Garden City, NY 11530
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556
85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Oceanside, NY
- NPI 1134454119
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Physical Therapist
- Garden City, NY
- NPI 1447564042
-
- Family Medicine Physician
- Valley Stream, NY
- NPI 1811031776
-
- Physical Therapist
- Valley Stream, NY
- NPI 1285232082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1033280441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SANDY HOLLOW RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502521",
"telephone_number": "516-318-8546",
"fax_number": "516-767-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SANDY HOLLOW RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110502521",
"telephone_number": "516-318-8546",
"fax_number": "516-767-1181"
}
],
"practiceLocations": [
{
"address_1": "475 Northern Blvd Ste 11",
"address_purpose": "LOCATION",
"city": "Great Neck",
"state": "NY",
"postal_code": "110214802",
"country_code": "US",
"telephone_number": "516-344-0023",
"fax_number": "516-466-7723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTTESFELD",
"first_name": "SUSAN",
"middle_name": "B",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012180-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.