Gautam Tomar, M.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28842 Issued in FL

Practice address

1155 Malabar Rd NE
Suite 1
Palm Bay, FL 32907-3245

Phone

(321) 409-5777

Fax

(321) 409-5888

NPI assigned

Oct 23, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1639507940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MALABAR RD NE",
            "address_2": "SUITE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073245",
            "telephone_number": "321-409-5777",
            "fax_number": "321-409-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MALABAR RD NE",
            "address_2": "SUITE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073245",
            "telephone_number": "321-409-5777",
            "fax_number": "321-409-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAR",
        "first_name": "GAUTAM",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036080",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Thompson, RN, MSN
• Patricia Thompson
• Sara Nicole Thompson, PA-C
• Thrive at Home Mobile Physical Therapy
• Kyaw Thu, M.D.
• Top Tier Senio Care Services Inc
• Belle Toro-Jensen
• Vicmar Razel Toro
• Lizmara Torres Martinez
• Laura Esther Torres Moron, BEHAVIOR TECHNICIAN

• Physical Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.