Active NPI
Victoria Gawedzki, PT, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1154083392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070027568
- Practice address
- 169 Madison Ave Ste 15501
New York, NY 10016-5101 - Phone
- (385) 308-8034
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-07687 | KS | |
| Physical Therapist | 225100000X | 7761769 | ID | |
| Physical Therapist | 225100000X | PT021287 | OH | |
| Physical Therapist | 225100000X | 1394932 | TX | |
| Physical Therapist | 225100000X | PT-2024-0198 | NM | |
| Physical Therapist | 225100000X | PT6840 | ME | |
| Physical Therapist | 225100000X | 052481 | NY | |
| Physical Therapist | 225100000X | 230357 | AK | |
| Physical Therapist | 225100000X | 070027568 | IL | Primary |
| Physical Therapist | 225100000X | 6540 | NV | |
| Physical Therapist | 225100000X | 14496 | CT | |
| Physical Therapist | 225100000X | PT-5957 | HI | |
| Physical Therapist | 225100000X | PT-2429 | WY | |
| Physical Therapist | 225100000X | PTH11879 | AL | |
| Physical Therapist | 225100000X | PT032389 | PA |
Addresses
Primary practice location
169 Madison Ave Ste 15501
New York, NY 10016-5101
Mailing address
169 Madison Ave Ste 15501
New York, NY 10016-5101
Phone (385) 308-8034
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021033625 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1154083392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "385-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "385-308-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWEDZKI",
"first_name": "VICTORIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07687",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "7761769",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT021287",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1394932",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2024-0198",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6840",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052481",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "230357",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070027568",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "6540",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14496",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-5957",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-2429",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH11879",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032389",
"primary": false
}
],
"identifiers": [],
"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 Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.