Serafina Gohar, PTA, CBIS
Individual provider Active NPI Physical Therapy Assistant · Westhampton, NY
NPI 1063280683 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1063280683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 012002-01 (NY)
- Practice address
- 78 Old Country Rd
Westhampton, NY 11977-1219 - Phone
- (631) 288-0101
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012002-01 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 012002-01 | NY | Yes |
Addresses
Primary practice location
78 Old Country Rd
Westhampton, NY 11977-1219
Mailing address
10 Fran LN
Selden, NY 11784-2614
Phone (631) 891-5001
Other providers in Westhampton, NY
- East End Healthcare Inc
- Eastern Suffolk Speech and Language Pathology PC
- Denise Ann Elias
- Eric Christensen, DDS PC
- Amy L Farnan
- Eileen Agnes Goodey
- Hampton NH Operating LLC
- Hanusa Massage Therapy of the Hamptons
- Noel Horton
- Hurricane Chiropractic PC
All providers in Westhampton, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.