Gil M Dersovitz, PT, OTR/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017930 Issued in NY

Practice address

324 Donaldson St
Highland Park, NJ 08904-2521

Phone

(917) 613-6801

Fax

(866) 734-1463

NPI assigned

Jan 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1255517710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042521",
            "telephone_number": "917-613-6801",
            "fax_number": "866-734-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042521",
            "telephone_number": "917-613-6801",
            "fax_number": "866-734-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERSOVITZ",
        "first_name": "GIL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017930",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01130400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012347",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00382200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred F De Palma, PT
• Sheri Degani, L.P.C.
• Tatsyana Delacrausaz, BCBA
• Delta Community Supports, Inc.
• Valbona Demiri
• Karina Desai
• Madine R Desantis, PHD
• Parnel E Desir, PHYSICIAN ASSISTANT
• Nicole S. Dietz, APN
• Donna Distefano, LCSW. LCADC

• Physical Therapist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.