Active NPI
Gina Nicole Lawney, DPT
- Physical Therapist
- Fort Montgomery, NY
National Provider Identifier
1124227616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020325
- Practice address
- 5 St. Marks Place
Fort Montgomery, NY 10922-0054 - Phone
- (845) 859-4110
- Fax
- (845) 335-5631
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 020325 | NY | Primary |
Addresses
Primary practice location
5 St. Marks Place
Fort Montgomery, NY 10922-0054
Mailing address
PO Box 504
5 St. Marks Place
Fort Montgomery, NY 10922-0054
Phone (845) 859-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023001118 | NY | Practitioner - Physical Therapist in Private Practice | 3375852858 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020325 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1124227616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 504",
"address_2": "5 ST. MARKS PLACE",
"city": "FORT MONTGOMERY",
"state": "NY",
"postal_code": "109220054",
"telephone_number": "845-859-4110",
"fax_number": "845-335-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ST. MARKS PLACE",
"city": "FORT MONTGOMERY",
"state": "NY",
"postal_code": "109220054",
"telephone_number": "845-859-4110",
"fax_number": "845-335-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWNEY",
"first_name": "GINA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "020325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Montgomery, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.