Active NPI
Gabriel Ello Reventar, PT
- Physical Therapist
- Blauvelt, NY
National Provider Identifier
1699715185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 604 Route 303
Blauvelt, NY 10913-1161 - Phone
- (201) 658-8983
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
604 Route 303
Blauvelt, NY 10913-1161
Mailing address
36 Avenue a
Mahwah, NJ 07430-1205
Phone (201) 658-8983
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essex Physical Therapy,LLC | Physical Therapist | Past | Accepting new patients |
| Mahwah Health Services | Physical Therapist | Past | Accepting new patients |
| Mahwah Health Services, LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- West Orange, NJ
- NPI 1508958687
Physical Therapist
-
dba mahwah physical therapy
- Physical Therapist
- Mahwah, NJ
- NPI 1851445068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699715185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 AVENUE A",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301205",
"telephone_number": "201-658-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 ROUTE 303",
"city": "BLAUVELT",
"state": "NY",
"postal_code": "109131161",
"telephone_number": "201-658-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVENTAR",
"first_name": "GABRIEL",
"middle_name": "ELLO",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blauvelt, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.