Active NPI
Nolan M Gardner, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1679041412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043596
- Practice address
- 139 E 57TH St
New York, NY 10022-2102 - Phone
- (212) 753-4767
- Fax
- (212) 753-4076
- NPI assigned
- Nov 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 043596 | NY | Primary |
Addresses
Primary practice location
139 E 57TH St
New York, NY 10022-2102
Mailing address
1255 5TH Ave Apt 6L
New York, NY 10029-3996
Phone (914) 400-1500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 043596 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Efficiency Physio PLLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1679041412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 5TH AVE APT 6L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293996",
"telephone_number": "914-400-1500",
"fax_number": "914-478-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 E 57TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222102",
"telephone_number": "212-753-4767",
"fax_number": "212-753-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "NOLAN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "043596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.