Individual provider Active NPI

Gay Schmadtke, PTA,ATP

  • Physical Therapy Assistant
  • Massapequa Park, NY
National Provider Identifier
1609103027
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
000897-1 Issued in NY
Practice address
1 Carmans Rd
Massapequa Park, NY 11762-1438
Phone
(516) 444-6142
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 000897-1 NY Primary

Addresses

Primary practice location

1 Carmans Rd
Massapequa Park, NY 11762-1438

Mailing address

1 Carmans Rd
Massapequa Park, NY 11762-1438
Phone (516) 444-6142

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
000897-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1609103027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARMANS RD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621438",
            "telephone_number": "516-444-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARMANS RD",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621438",
            "telephone_number": "516-444-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMADTKE",
        "first_name": "GAY",
        "name_prefix": "Ms.",
        "credential": "PTA,ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000897-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.