David Emmanuel Geddam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049573-01 Issued in NY

Practice address

49 Church St
Freeport, NY 11520-3837

Phone

(516) 623-6253

Fax

(516) 623-8450

NPI assigned

Nov 9, 2022

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Power Physical Therapy, PCGroup PAC ID 6901067552, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body Power Physical Therapy PC

  • Specialist
  • Freeport, NY
  • NPI 1275805830

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1497463319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203837",
            "telephone_number": "516-623-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203837",
            "telephone_number": "516-623-6253",
            "fax_number": "516-623-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDAM",
        "first_name": "DAVID EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049573-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin Garcia
• Sonia Garcia, A-GNP-C
• Sonia A Garcia, LCSWR
• Jody Gardener
• Rose Gardner
• Gee Gee Holding Corp.
• Dorothea Geiger, MA SPECIAL EDUCATION
• Mary Gennett, OT
• Genoa Healthcare LLC
• Marissa Gentile

• Physical Therapist in Freeport, NY
• Providers in Freeport, 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 Nov 9, 2022; 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.