Raphael Milan Gastali, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4671 Issued in NE

Practice address

10730 Pacific St Ste 210
Omaha, NE 68114-4761

Phone

(402) 753-7230

Fax

(402) 932-4926

NPI assigned

Jun 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medlink Companion, LLC

  • Physical Therapist
  • Omaha, NE
  • NPI 1679855027
  NPD
• Medlink, LLC

  • Skilled Nursing Facility
  • Omaha, NE
  • NPI 1942607072
  NPD (past)

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1144063942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 N 168TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162615",
            "telephone_number": "402-709-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 PACIFIC ST STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144761",
            "telephone_number": "402-753-7230",
            "fax_number": "402-932-4926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6909 S 157th St Ste E",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681363052",
            "country_code": "US",
            "telephone_number": "402-933-5448",
            "fax_number": "402-614-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASTALI",
        "first_name": "RAPHAEL",
        "middle_name": "MILAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeen Gass, PA-C
• Michael Gass
• Nancy K Gassen
• Kelly Gassman, PA-C
• Lizabeth Gastali
• Melissa Gaston
• Maureen Wanjira Gatere, APRN
• Eileen Marie Gaters, PLMHP
• Fantashia Gates-Colbert
• Georgette Gates-Colbert

• Physical Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.