Anvesh Gampa

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041818 Issued in NY

Practice address

6118 170TH St FL 3
Flushing, NY 11365-1948

Phone

(206) 724-9095

NPI assigned

Mar 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16907/brand/1/csg/1/fhir/r4

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.

• Paskal

  • Internal Medicine Physician
  • Dumfries, VA
  • NPI 1336583053
  NPD (past)

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1306594874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 170TH ST FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651948",
            "telephone_number": "206-724-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 170TH ST FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651948",
            "telephone_number": "206-724-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMPA",
        "first_name": "ANVESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSEE",
            "identifier": "651579442",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "041818",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anveshgampaa@gmail.com",
            "affiliation": "N",
            "endpointDescription": "anveshgampaa@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6118 170th St Fl 3",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113651948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Gallardo
• Dana Galler
• Amee Jahkwa Gamadeku
• Stephanie Gambino
• Alan Gamboa, M.D.
• Mordechai Gampel, M.D.
• Michele Gamzo
• Jiangping Gan
• Haydee Ganace
• Nicole Ganas

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.