Carly Gellerman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15955 Issued in CO

Practice address

42 Gedney Park Dr
White Plains, NY 10605-3533

Phone

(914) 582-3612

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1316344922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 S ALTON WAY",
            "address_2": "STE 11-D",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122323",
            "telephone_number": "720-493-1181",
            "fax_number": "720-493-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 GEDNEY PARK DR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053533",
            "telephone_number": "914-582-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLERMAN",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "15955",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olatunji Gbotosho
• Gela Gelashvili, PA-C
• Sinead Gelb, M.S.ED
• Gennifer L Geller, MD
• Paul Allen Geller, D.D.S.
• William Gelormino, RN
• Genesis Ambulette Inc.
• Jillian Genna, NP
• Brittany Ann Gentilcore I, LP-MHC
• Gebe Philip George, DO

• Physical Therapist in White Plains, NY
• Providers in White Plains, 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 Oct 12, 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.