Clyde Lace De Guzman Gorobat

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

054317 Issued in NY

Practice address

4312 56TH Street, Apt F1
Woodside, NY 11377

Phone

(347) 829-3890

Fax

(347) 829-3888

NPI assigned

Jun 23, 2025

Sex

Female

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Solar Health Physical Therapy and Acupuncture PCGroup PAC ID 5698195972, 6 clinicians

Practice addresses (Care Compare)

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.

• Solar Health Physical Therapy and Acupuncture P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1558903658
  Medicare reassignment Care Compare group NPD
• Chung Ying Physical Therapy and Acupuncture PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1073746533

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1174410013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 56TH STREET, APT 1F",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 56TH STREET, APT F1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "347-829-3890",
            "fax_number": "347-829-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROBAT",
        "first_name": "CLYDE LACE",
        "middle_name": "DE GUZMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mireya Gomez
• Janinne Gonzalez
• Reinaldo Gonzalez, LCSW
• Sharon Casandra Gonzalez, LMSW
• Cassandra Goojha
• Eric Paul Gothelf, DMD
• Jonathan Gottlieb, LCSW
• Thanesha Graham, PHARMACIST
• Angela Gralian
• Gramercy Medical PC

• Physical Therapist in Woodside, NY
• Providers in Woodside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.