Giga Gambashidze

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010829-1 Issued in NY

Practice address

1556 W 8TH St
Apt 2
Brooklyn, NY 11204

Phone

(646) 379-0072

NPI assigned

Oct 30, 2017

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.

• Hometech Rehab

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1104391853
  NPD (past) Authorized official

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1588176648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 W 8TH ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046503",
            "telephone_number": "646-379-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 W 8TH ST",
            "address_2": "APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "646-379-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBASHIDZE",
        "first_name": "GIGA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010829-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdelrahman Gamal, PT
• Alexandru Gaman, MD
• Larisa Gamarnik
• Alisa Lauren Gambardella, LMSW
• Boris L Gambarin, MD
• Stephen Gamberg, PA-C
• Srushti Gambhire, PT
• Calogero Gambino, M.D.
• Cynthia Mimma Gambino, OTR
• Mimma Carolina Gambino, M.A., CCC-SLP

• Physical Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.