Individual provider Active NPI

Adam T. Gazdzinski, DPT, ECS, OCS

  • Physical Therapist
  • New York, NY
National Provider Identifier
1124236336
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
651 W 180TH St
Suite 2
New York, NY 10033-4802
Phone
(646) 918-7816
Fax
(646) 661-2151
NPI assigned
May 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

651 W 180TH St
Suite 2
New York, NY 10033-4802

Mailing address

651 W 180TH St
Suite 2
New York, NY 10033-4802
Phone (646) 918-7816

Other identifiers 1

IdentifierTypeStateIssuer
02231652MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140626000013 NY Practitioner - Physical Therapist in Private Practice 2062568397 Reassigns benefits to 5 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Grand Rehab PT P.C.Group PAC ID 6709156656, 3 clinicians
Adam Physical Therapy P.C.Group PAC ID 7911211693, 3 clinicians

Practice addresses (Care Compare)

153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone (347) 702-9958

651 W 180TH St
Suite 2
New York, NY 10033-4802
Phone (646) 918-7816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Manhattan PT PLLC Physical Therapist CurrentSince May 10, 2025 Accepting new patients
Northern Manhattan Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Mar 22, 2018 Accepting new patients
Grand Rehab PT PC Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients
Adam Physical Therapy P.C. Physical Therapist CurrentSince Jul 2, 2015 Accepting new patients
Rehab Partners PT PC Physical Therapist CurrentSince Jan 12, 2020 Accepting new patients

Locations

153 Bay 26th St
Brooklyn, NY 11214
Phone (347) 702-9958

651 W 180th St
#2
New York, NY 10033
Phone (646) 863-8353

6009 Myrtle Ave
Ridgewood, NY 11385
Phone (347) 472-1834

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1124236336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W 180TH ST",
            "address_2": "SUITE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334802",
            "telephone_number": "646-918-7816",
            "fax_number": "201-731-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W 180TH ST",
            "address_2": "SUITE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334802",
            "telephone_number": "646-918-7816",
            "fax_number": "646-661-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDZINSKI",
        "first_name": "ADAM",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DPT, ECS, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02231652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.