Active NPI
Gerard Agustin Estrella
- Physical Therapist
- Elmhurst, NY
National Provider Identifier
1114225117
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031240
- Practice address
- 8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4434 - Phone
- (718) 533-8588
- NPI assigned
- Mar 1, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 031240 | NY | Primary |
Addresses
Primary practice location
8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4434
Mailing address
8635 Queens Blvd
Suite 1B
Elmhurst, NY 11373-4434
Phone (718) 533-8588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiocare Physical Therapy of New York PLLC | Physical Therapist | Past | Accepting new patients |
| Cha Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- New York, NY
- NPI 1356633028
-
- Rehabilitation Practitioner
- New York, NY
- NPI 1477200970
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1114225117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 QUEENS BLVD",
"address_2": "SUITE 1B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734434",
"telephone_number": "718-533-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 QUEENS BLVD",
"address_2": "SUITE 1B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734434",
"telephone_number": "718-533-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRELLA",
"first_name": "GERARD",
"middle_name": "AGUSTIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.