Individual provider Active NPI

Jose Manuel Gaa Lanzona, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1699652743
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054556 Issued in NY
Practice address
741 Manhattan Ave
Brooklyn, NY 11222-6233
Phone
(646) 347-0015
Fax
(212) 379-2123
NPI assigned
Aug 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 054556 NY Primary

Addresses

Primary practice location

741 Manhattan Ave
Brooklyn, NY 11222-6233

Mailing address

102 Madison Ave FL 8
New York, NY 10016-7584
Phone (212) 759-2282

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
054556NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Care Group Physical Therapy PLLC Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
Symbio Pro PT, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients

Locations

25 W 14th St
Fl 2
New York, NY 10011
Phone (646) 320-0518

102 Madison Ave
Fl 8
New York, NY 10016

Organizations & group practices 3

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1699652743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MADISON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167584",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112226233",
            "telephone_number": "646-347-0015",
            "fax_number": "212-379-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZONA",
        "first_name": "JOSE MANUEL",
        "middle_name": "GAA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.