Myranda Gumtow, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043184 Issued in NY

Practice address

100 Loder St Ste 105
Hornell, NY 14843-1957

Phone

(607) 324-9344

Fax

(607) 324-9345

NPI assigned

Aug 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Myranda Garfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Maple City Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Hornell, NY
  • NPI 1821411802

  Physical Therapist

  NPD

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1235618802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LODER ST STE 105",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431957",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LODER ST STE 105",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431957",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMTOW",
        "first_name": "MYRANDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRANDA",
            "last_name": "GARFIELD",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Graham
• Amanda Gabrielle Graves, MD
• Gail Susan Gray, PH.D.
• Stephan Michael Greenberg, M.D.
• Anthony Robert Guarglia, OPHTHALMIC DISPENSER
• John Stirling Halpenny, M.D.
• Christina Adele Hancock, RDH
• Jennifer Lee Fox Hand, FNP
• Kevin Hanrahan, OPTICIAN
• Mavidi K Hariprasad, M.D.

• Physical Therapist in Hornell, NY
• Providers in Hornell, 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 Nov 27, 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.