Individual provider Active NPI

Carmine J Gargano, PT

  • Physical Therapist
  • Florence, SC
National Provider Identifier
1255700332
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8869 Issued in SC
Practice address
2360 Freedom Blvd Apt C8
Florence, SC 29505
Phone
(908) 210-1680
NPI assigned
Sep 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 082089 IA
Physical Therapist 225100000X 40QA01620200 NJ
Physical Therapist 225100000X 8869 SC Primary

Addresses

Primary practice location

2360 Freedom Blvd Apt C8
Florence, SC 29505

Mailing address

2360 Freedom Blvd Apt C8
Florence, SC 29505-6183
Phone (908) 210-1680

Other practice location 1

201 E J Ave
Grundy Center, IA 50638-2028
Phone (319) 824-5421

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
082089IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1255700332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 FREEDOM BLVD APT C8",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056183",
            "telephone_number": "908-210-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 FREEDOM BLVD APT C8",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "908-210-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E J Ave",
            "address_purpose": "LOCATION",
            "city": "Grundy Center",
            "state": "IA",
            "postal_code": "506382028",
            "country_code": "US",
            "telephone_number": "319-824-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARGANO",
        "first_name": "CARMINE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "082089",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01620200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.