Active NPI
Gwen Armedilla Agias, PT
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 048690
- Practice address
- 110 E 40TH St RM 701
New York, NY 10016-1821 - Phone
- (212) 872-1745
- NPI assigned
- Jul 27, 2023
- Last updated
- Aug 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 048690 | NY | Primary |
Addresses
Primary practice location
110 E 40TH St RM 701
New York, NY 10016-1821
Mailing address
52108 79TH St
Elmhurst, NY 11373-4113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
139 Centre St
PH 101
New York, NY 10013-4559
Phone (718) 290-2919
39 W 38TH St
RM 3W
New York, NY 10018-5531
Phone (212) 386-7816
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048690 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chung Ying Physical Therapy and Acupuncture PC | Physical Therapist | Current | Accepting new patients |
| Solar Health Physical Therapy and Acupuncture P.C. | Physical Therapist | Current | Accepting new patients |
| Epower PT & Acupuncture PC | Physical Therapist | Past | Accepting new patients |
Locations
339 Kings Hwy
Brooklyn, NY 11223
Phone (347) 274-8591
833 58th St
Brooklyn, NY 11220
Phone (718) 290-2919
623 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 464-6888
139 Centre St
Ph 101
New York, NY 10013
Phone (212) 343-8210
315 W 57th St
Ste 302
New York, NY 10019
Phone (212) 265-2052
39 W 38th St
Rm 3W
New York, NY 10018
Phone (212) 386-7816
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1073746533
Physical Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1558903658
-
- Orthopedic Physical Therapist
- New York, NY
- NPI 1306340500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1306527726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52108 79TH ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 40TH ST RM 701",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161821",
"telephone_number": "212-872-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGIAS",
"first_name": "GWEN",
"middle_name": "ARMEDILLA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-27",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "048690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.