Individual provider Active NPI

Betty Gao, PT. DPT.

  • Physical Therapist
  • Sleepy Hollow, NY
National Provider Identifier
1467662320
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011551 Issued in NY
Practice address
239 N Broadway Ste L100
Sleepy Hollow, NY 10591-2674
Phone
(914) 909-6970
Fax
(914) 909-6971
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 011551 NY Primary

Addresses

Primary practice location

239 N Broadway Ste L100
Sleepy Hollow, NY 10591-2674

Mailing address

239 N Broadway Ste L100
Sleepy Hollow, NY 10591-2674
Phone (914) 909-6970

Other practice location 1

358 N Broadway Ste 101
Sleepy Hollow, NY 10591-2348
Phone (914) 909-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000766 NY Practitioner - Physical Therapist in Private Practice 9830119338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 N Broadway
Suite L100
Sleepy Hollow, NY 10591-2674
Phone (914) 909-6970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Gao, P.T.,P.C. CurrentSince Jan 1, 2006 Accepting new patients

Locations

239 N Broadway
Ste L100
Sleepy Hollow, NY 10591
Phone (914) 909-6970

358 N Broadway
Ste 101
Sleepy Hollow, NY 10591
Phone (646) 327-7062

358 N Broadway
Ste 201
Sleepy Hollow, NY 10591
Phone (914) 332-5100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1467662320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N BROADWAY STE L100",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912674",
            "telephone_number": "914-909-6970",
            "fax_number": "914-909-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N BROADWAY STE L100",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912674",
            "telephone_number": "914-909-6970",
            "fax_number": "914-909-6971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 N Broadway Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sleepy Hollow",
            "state": "NY",
            "postal_code": "105912348",
            "country_code": "US",
            "telephone_number": "914-909-6970",
            "fax_number": "914-909-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO",
        "first_name": "BETTY",
        "name_prefix": "Dr.",
        "credential": "PT. DPT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.