Gail Lucille Nistico, PHYSICAL THERAPY ASS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000169-1 Issued in NY

Practice address

256 Sunset Lake Rd
Sullivan County Adult Care Center
Liberty, NY 12754

Phone

(845) 292-5910

NPI assigned

Apr 8, 2010

Last updated

Apr 8, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1174849756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SEMINARY RD.",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235316",
            "telephone_number": "845-887-1956",
            "fax_number": "845-887-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SUNSET LAKE RD",
            "address_2": "SULLIVAN COUNTY ADULT CARE CENTER",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "12754",
            "telephone_number": "845-292-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISTICO",
        "first_name": "GAIL",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPY ASS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000169-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Mungeer, BSN, RN
• Nora Munson
• Alexandra Franca Neuber, MLSW
• Kimberly T Neves, RN
• Karen Ann Nieke
• Michael Noren
• Robert P Nussbaum, PHD
• Linda Marks Nuzzo, LCSW
• Roseann O'Connor, LCSWR
• Brenna O'Malley, RD

• Physical Therapy Assistant in Liberty, NY
• Providers in Liberty, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.