Individual provider Active NPI

Gil Lepiten Arriesgado, PT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1598015000
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011262-1 Issued in NY
Practice address
112 Bidwell Ave
Staten Island, NY 10314-3177
Phone
(718) 637-4603
Fax
(718) 448-8287
NPI assigned
Sep 12, 2012
Last updated
Jan 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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 011262-1 NY Primary

Addresses

Primary practice location

112 Bidwell Ave
Staten Island, NY 10314-3177

Mailing address

241 Egbert Ave
Staten Island, NY 10310-2646
Phone (718) 876-6956

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
011262-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1598015000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 EGBERT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102646",
            "telephone_number": "718-876-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BIDWELL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143177",
            "telephone_number": "718-637-4603",
            "fax_number": "718-448-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIESGADO",
        "first_name": "GIL",
        "middle_name": "LEPITEN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011262-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.