Active NPI
G1L Physical Therapy P.C.
- Physical Therapy Clinic/Center
- Glen Cove, NY
National Provider Identifier
1164088712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Giwon Lee
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Dacula, GA
- NPI 1104212166
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.