Active NPI
Gangawattie Charran
- Physical Therapist
- Howard Beach, NY
National Provider Identifier
1255000337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005820-01
- Practice address
- 161-11 Cross Bay Blvd
Howard Beach, NY 11414 - Phone
- (718) 843-3211
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005820-01 | NY | Primary |
Addresses
Primary practice location
161-11 Cross Bay Blvd
Howard Beach, NY 11414
Mailing address
161-11 Cross Bay Blvd
Howard Beach, NY 11414
Phone (718) 843-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005820-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockaway Beach Physical Therapy of Ny PLLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Rockaway Park, NY
- NPI 1447790845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1255000337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161-11 CROSS BAY BLVD",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "11414",
"telephone_number": "718-843-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161-11 CROSS BAY BLVD",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "11414",
"telephone_number": "718-843-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARRAN",
"first_name": "GANGAWATTIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "005820-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.