Organization Active NPI

Gaitway Physical Therapy of Connecticut, P.C.

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1053684118
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009263 Issued in CT
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

Updated by the provider on Feb 20, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.