Active NPI
Gaitway Physical Therapy of Connecticut, P.C.
- Physical Therapist
- Hicksville, NY
National Provider Identifier
1053684118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009263
- Legal business name
- GAITWAY PHYSICAL THERAPY OF CONNECTICUT, P.C.
- Practice address
- 6 Arcadia Lane
Hicksville, NY 11801-4437 - Phone
- (516) 623-4769
- Fax
- (516) 771-0621
- NPI assigned
- Feb 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy S Mangano, M.P.T.
- Title
- Director
- Phone
- (516) 658-8252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009263 | CT | Primary |
Addresses
Primary practice location
6 Arcadia Lane
Hicksville, NY 11801-4437
Mailing address
35 Earl Drive
Merrick, NY 11566-1708
Phone (516) 623-4769
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329696000000",
"number": "1053684118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 EARL DRIVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115661708",
"telephone_number": "516-623-4769",
"fax_number": "516-771-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ARCADIA LANE",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118014437",
"telephone_number": "516-623-4769",
"fax_number": "516-771-0621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAITWAY PHYSICAL THERAPY OF CONNECTICUT, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A",
"authorized_official_last_name": "MANGANO",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "516-658-8252",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CT",
"license": "009263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.