Active NPI
Tina Patel Gunaldo, PT
- Physical Therapist
- Covington, LA
National Provider Identifier
1629212998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03165
- Practice address
- 114 Willow Dr
Covington, LA 70433-4922 - Phone
- (504) 858-9798
- NPI assigned
- Apr 29, 2009
- 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 | 03165 | LA | Primary |
Addresses
Primary practice location
114 Willow Dr
Covington, LA 70433-4922
Mailing address
114 Willow Dr
Covington, LA 70433-4922
Phone (504) 858-9798
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 |
|---|---|---|---|
| 03165 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1629212998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WILLOW DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334922",
"telephone_number": "504-858-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WILLOW DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334922",
"telephone_number": "504-858-9798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNALDO",
"first_name": "TINA",
"middle_name": "PATEL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "03165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.