Active NPI
Golda Ibale, RPT
- Physical Therapist
- Far Rockaway, NY
National Provider Identifier
1558310458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026789
- Practice address
- 250 Beach 17TH St
Far Rockaway, NY 11691-4420 - Phone
- (718) 471-7500
- Fax
- (718) 327-5506
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026789 | NY | Primary |
Addresses
Primary practice location
250 Beach 17TH St
Far Rockaway, NY 11691-4420
Mailing address
8314 54TH Ave
2F
Elmhurst, NY 11373-4714
Phone (718) 606-1315
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026789 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558310458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8314 54TH AVE",
"address_2": "2F",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734714",
"telephone_number": "718-606-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BEACH 17TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914420",
"telephone_number": "718-471-7500",
"fax_number": "718-327-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBALE",
"first_name": "GOLDA",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "026789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.