Active NPI
Teresita Abegail Isidro Gaac
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1154666949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035777
- Practice address
- 2231 78TH St
Brooklyn, NY 11214-1503 - Phone
- (347) 652-4703
- NPI assigned
- Dec 5, 2012
- Last updated
- Dec 5, 2012
- 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 | 035777 | NY | Primary |
Addresses
Primary practice location
2231 78TH St
Brooklyn, NY 11214-1503
Mailing address
2231 78TH St
Brooklyn, NY 11214-1503
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 |
|---|---|---|---|
| 035777 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1154666949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 78TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112141503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 78TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112141503",
"telephone_number": "347-652-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAAC",
"first_name": "TERESITA ABEGAIL",
"middle_name": "ISIDRO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.