Individual provider Active NPI

Gauri Blimline

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1538438262
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033829 Issued in NY
Practice address
20 River CT
Apt 1612
Jersey City, NJ 07310-2201
Phone
(201) 234-9016
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 033829 NY Primary

Addresses

Primary practice location

20 River CT
Apt 1612
Jersey City, NJ 07310-2201

Mailing address

20 River CT
Apt 1612
Jersey City, NJ 07310-2201
Phone (201) 234-9016

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
033829NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1538438262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVER CT",
            "address_2": "APT 1612",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102201",
            "telephone_number": "201-234-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVER CT",
            "address_2": "APT 1612",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102201",
            "telephone_number": "201-234-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIMLINE",
        "first_name": "GAURI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.