Matthew Seth Gavzy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00238900 Issued in NJ

Practice address

1086 Teaneck Rd
Suite 3E
Teaneck, NJ 07666-4854

Phone

(201) 833-1333

Fax

(201) 833-1390

NPI assigned

Nov 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Churchill & Associates Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Leonia, NJ
  • NPI 1609564046
  NPD Authorized official
• Balance and Concussion Therapy Center, LLC

  • Neurology Physical Therapist
  • Hackensack, NJ
  • NPI 1609595057
  NPD (past)
• Churchill Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Teaneck, NJ
  • NPI 1770632390
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578632576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-06 CHARLES ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101700",
            "telephone_number": "201-797-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD",
            "address_2": "SUITE 3E",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664854",
            "telephone_number": "201-833-1333",
            "fax_number": "201-833-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVZY",
        "first_name": "MATTHEW",
        "middle_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00238900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sushmitha Garikipati
• Ingrid Simone Garner, PT
• Gary Tuckman PHD PA
• Pamela Lynn Gauss, RPA-C
• Alyssa Gauthier
• Marjorie Alderete Gayanilo, MD
• John David Gelles, O.D.
• Michelle Amy Gellman, ORT/L
• Generational Wellness Center
• Jo-Anne Genita, PTA

• Physical Therapy Assistant in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.