Active NPI
Rachel Margaret Gambino, PT DPT
- Pediatric Physical Therapist
- Wantagh, NY
National Provider Identifier
1275607996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 0167501
- Practice address
- 1228 Wantagh Avenue
Suite 104 South Shore Pediatric Physical Therapy LLP
Wantagh, NY 11793 - Phone
- (516) 785-5257
- Fax
- (516) 785-5154
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 0167501 | NY | Primary |
Addresses
Primary practice location
1228 Wantagh Avenue
Suite 104 South Shore Pediatric Physical Therapy LLP
Wantagh, NY 11793
Mailing address
131 First Street
Rachel M Gambino
Holbrook, NY 11741
Phone (516) 984-2615
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30648 | Other | ANTHEM LINDA | |
| Q3107 | Other | KAREN BLCR BLSH | |
| 30646 | Other | ANTHEM KAREN | |
| A745513 | Other | OXFORD | |
| Q09X41 | Other | JP BLCR BLSH | |
| QQ8132 | Other | NY | BCBS PPO EPO |
| QQ8131 | Other | RACHEL BLCR BLSH HMO | |
| 60101 | Other | CIGNA PPO PROVID # PAYOR | |
| QQ8131 | Other | NY | BCBS HMO |
| Q6337 | Other | LINDA BLCR BLSH |
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 |
|---|---|---|---|
| 0167501 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275607996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 FIRST STREET",
"address_2": "RACHEL M GAMBINO",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "11741",
"telephone_number": "516-984-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 WANTAGH AVENUE",
"address_2": "SUITE 104 SOUTH SHORE PEDIATRIC PHYSICAL THERAPY LLP",
"city": "WANTAGH",
"state": "NY",
"postal_code": "11793",
"telephone_number": "516-785-5257",
"fax_number": "516-785-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBINO",
"first_name": "RACHEL",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "0167501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM LINDA",
"identifier": "30648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAREN BLCR BLSH",
"identifier": "Q3107",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM KAREN",
"identifier": "30646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A745513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JP BLCR BLSH",
"identifier": "Q09X41",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PPO EPO",
"identifier": "QQ8132",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RACHEL BLCR BLSH HMO",
"identifier": "QQ8131",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO PROVID # PAYOR",
"identifier": "60101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HMO",
"identifier": "QQ8131",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LINDA BLCR BLSH",
"identifier": "Q6337",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.