Individual provider Active NPI

Gwenn Eiger, PT

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1437386786
Registry record updated Jun 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006419-1 Issued in NY
Practice address
1480 Blue Spruce LN
Wantagh, NY 11793-2529
Phone
(516) 783-6918
NPI assigned
Jun 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006419-1 NY Primary

Addresses

Primary practice location

1480 Blue Spruce LN
Wantagh, NY 11793-2529

Mailing address

1480 Blue Spruce LN
Wantagh, NY 11793-2529
Phone (516) 783-6918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006419-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244937600000",
    "number": "1437386786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 BLUE SPRUCE LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932529",
            "telephone_number": "516-783-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 BLUE SPRUCE LN",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932529",
            "telephone_number": "516-783-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIGER",
        "first_name": "GWENN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-14",
        "last_updated": "2009-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006419-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2009; 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.