Ace Gonzales Sumagaysay, PT
Individual provider Active NPI Physical Therapist · Jamesville, NY
NPI 1194988022 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1194988022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 027980-1 (NY)
- Practice address
- 5875 Night Wind Cir
Jamesville, NY 13078-6475 - Phone
- (718) 564-3687
- Fax
- (315) 359-6778
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027980 | NY | MD | Geriatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027980-1 | NY | Yes |
| Geriatric Physical Therapist |
2251G0304X | 027980 | NY |
Addresses
Primary practice location
5875 Night Wind Cir
Jamesville, NY 13078-6475
Mailing address
5875 Night Wind Cir
Jamesville, NY 13078-6475
Phone (718) 564-3687
Other providers in Jamesville, NY
- Shamlian Nutrition PLLC
- Catherine Shamlian
- Latoya Rejean Sigler
- Amanda Marie Skeval
- Susan Strandburg
- Summit Home Physical Therapy PLLC
- Summit Home Rehabilitation PLLC
- Joseph Martin Talcik
- The Nottingham Residential Health Care Facility
- Ashley Renee Tirado
All providers in Jamesville, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.