Individual provider Active NPI

Allan Anthony Gutierrez, PT

  • Physical Medicine & Rehabilitation Physician
  • New Windsor, NY
National Provider Identifier
1033284237
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
016020 Issued in NY
Practice address
117 Executive Dr
Suite 300
New Windsor, NY 12553-5503
Phone
(845) 787-0440
Fax
(845) 787-0441
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 016020 NY Primary

Addresses

Primary practice location

117 Executive Dr
Suite 300
New Windsor, NY 12553-5503

Mailing address

7 Stirling Cir
Highland Mills, NY 10930-8307
Phone (845) 787-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000535 NY Practitioner - Physical Therapist in Private Practice 9931395902 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Executive Dr
Suite 300
New Windsor, NY 12553-5546
Phone (845) 787-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016020NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC CurrentSince Aug 20, 2018 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC CurrentSince Feb 23, 2022 Accepting new patients
Advanced Health Physical Therapy P.C. CurrentSince Jul 26, 2010 Accepting new patients
B Stern Physical Therapy P.C. CurrentSince Mar 26, 2018 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Dec 9, 2018 Accepting new patients
New York Luna Care Physical Therapy PLLC CurrentSince Apr 15, 2025 Accepting new patients
Genesis Medical Health PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

117 Executive Dr
Ste 300
New Windsor, NY 12553
Phone (845) 787-0440

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1033284237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STIRLING CIR",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109308307",
            "telephone_number": "845-787-0440",
            "fax_number": "845-928-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 EXECUTIVE DR",
            "address_2": "SUITE 300",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535503",
            "telephone_number": "845-787-0440",
            "fax_number": "845-787-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ALLAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "016020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.

Verify at the official NPI Registry.