Organization Active NPI

G1L Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Glen Cove, NY
National Provider Identifier
1164088712
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
G1L PHYSICAL THERAPY P.C.
Practice address
7 Walnut Rd
Glen Cove, NY 11542-2267
Phone
(516) 609-9400
Fax
(516) 609-9402
NPI assigned
May 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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

Authorized official

Name
Giwon LeeNPI 1104212166
Title
Provider
Phone
(503) 901-9772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7 Walnut Rd
Glen Cove, NY 11542-2267

Mailing address

4630 206TH St FL 1
Bayside, NY 11361-3163
Phone (503) 901-9772

National Provider Directory

National Provider Directory

Locations

7 Walnut Rd
Glen Cove, NY 11542
Phone (516) 609-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558137600000",
    "number": "1164088712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 206TH ST FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613163",
            "telephone_number": "503-901-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WALNUT RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422267",
            "telephone_number": "516-609-9400",
            "fax_number": "516-609-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G1L PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GIWON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "503-901-9772"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.