Gerard Donayre, MPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28434 Issued in CA

Practice address

1921 N Gaffey St
Suite I
San Pedro, CA 90731-1264

Phone

(310) 833-0300

Fax

(310) 833-0306

NPI assigned

Jan 26, 2007

Last updated

Dec 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Balance Physical Therapy Co.

  dba Abpt

  • Physical Therapy Clinic/Center
  • San Pedro, CA
  • NPI 1528648995
  Medicare reassignment Authorized official
• Advanced Balance Studio

  • Orthopedic Physical Therapist
  • San Pedro, CA
  • NPI 1588977854
  NPD (past) Authorized official
• Balance Rehabilitation, Inc.

  • Orthopedic Physical Therapist
  • Lake Forest, CA
  • NPI 1184734931
  NPD (past)
• South Bay Orthopaedic Specialists Medical Center a Medical Partnership

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1396708988
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1407902216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N GAFFEY ST",
            "address_2": "SUITE I",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311264",
            "telephone_number": "310-833-0300",
            "fax_number": "310-833-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N GAFFEY ST",
            "address_2": "SUITE I",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311264",
            "telephone_number": "310-833-0300",
            "fax_number": "310-833-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAYRE",
        "first_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "MPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamont Edward Dobbins Jr.
• Dodson Psychological Services
• Faviola Don Juan, LVN
• Denise Donahue, P.A.
• Breanna Donatien
• Dessire Douglas
• Marguerite Joanne Doumak, MFT
• Diana Louise Dowds, MFT
• Jack Everett Downhill Jr., MD
• Dr Mona Shah Professional Corporation

• Physical Therapist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.

Verify at the official NPI Registry.