GMD Physical & Occupational Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017930 Issued in NY

Legal business name

GMD PHYSICAL & OCCUPATIONAL THERAPY, LLC

Practice address

324 Donaldson St
Highland Park, NJ 08904-2521

Phone

(866) 613-6801

Fax

(866) 734-1463

NPI assigned

Feb 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gil M. Dersovitz, PT, OTR/L

Title

President

Phone

(866) 613-6801

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1346428299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042521",
            "telephone_number": "866-613-6801",
            "fax_number": "866-734-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042521",
            "telephone_number": "866-613-6801",
            "fax_number": "866-734-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMD PHYSICAL & OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "DERSOVITZ",
        "authorized_official_first_name": "GIL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-613-6801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017930",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01130400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012347",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00382200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jonathan Glasgold, M.D.
• Robert Alexander Glasgold, M.D.
• Frederic G Glatter, MD
• Ethan Michael Glickman, DDS
• Martin Joel Gliserman, PH.D., NCPSYA
• Eliane Goldman, LCSW
• Alexandra Goldstein
• Yisroel Goldstein, PHD
• Rachel Golum, PSY.D
• Bonnie Gordic, PSYD, MPP

• Physical Therapist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.