Gina Delisio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038095 Issued in NY

Practice address

30 E 60TH St
New York, NY 10022-1008

Phone

(212) 737-9000

NPI assigned

Sep 22, 2014

Sex

Female

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 NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Dynamic Physical Therapy Rehab of Ny PCGroup PAC ID 1759611759, 4 clinicians

Dynamic Physical Therapy at HomeGroup PAC ID 9133460934, 13 clinicians

Dynamic OT at Home PCGroup PAC ID 8123545720, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic OT at Home PC

  • Physical Medicine & Rehabilitation Physician
  • Tappan, NY
  • NPI 1467260638
  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy Rehab of Ny P.C.

  • Physical Therapy Clinic/Center
  • Mineola, NY
  • NPI 1134775174

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy at Home

  • Physical Therapist
  • Northvale, NJ
  • NPI 1396219044
  Medicare reassignment Care Compare group NPD
• Complete Wellness Medical PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1851737209
  Medicare reassignment NPD
• Dynamic at Home

  • Rehabilitation Clinic/Center
  • Tappan, NY
  • NPI 1396420626
  NPD
• Brian Mayrsohn MD PLLC

  • Pain Medicine Physician
  • Port Jefferson, NY
  • NPI 1942992235
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1417359498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221008",
            "telephone_number": "212-737-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISIO",
        "first_name": "GINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Brunel Delince, LMSW
• Catherine Amanda Delisi, LMSW
• Joseph Charles Delisi, DDS
• Kyle Patrick Delisi, PA-C
• Lynn Eleano Delisi, M.D.
• Susan Marta Delisle, A.N.P., PMHNP
• Caitlin Deliso
• Dzika Deljanin
• Victoria May Della Pace, M.S., OTR/L
• Daniel Della Ratta, R.PH.

• Physical Therapist in New York, NY
• Providers in New York, 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 Sep 22, 2014; 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.