Active NPI
Joanna Marie Gumtang, RPT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030978
- Practice address
- 70 Avenue O
Brooklyn, NY 11204-6448 - Phone
- (347) 576-1604
- Fax
- (347) 576-1607
- NPI assigned
- Nov 15, 2009
- Sex
- Female
- 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 | 030978 | NY | Primary |
Addresses
Primary practice location
70 Avenue O
Brooklyn, NY 11204-6448
Mailing address
176 Lexington Ave
Jersey City, NJ 07304-1204
Phone (201) 467-9791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (917) 723-0667
333 E 56TH St
New York, NY 10022-3758
Phone (212) 317-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy Services PC | Physical Therapist | Current | Accepting new patients |
| Sutton Place Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Genesis Medical Health PC | Past | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
333 E 56th St
Ofc 1
New York, NY 10022
Phone (212) 289-3236
333 E 56th St
New York, NY 10022
Phone (212) 308-2540
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1184269755
-
- Physical Therapist
- New York, NY
- NPI 1225047665
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1710214580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 LEXINGTON AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041204",
"telephone_number": "201-467-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 AVENUE O",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046448",
"telephone_number": "347-576-1604",
"fax_number": "347-576-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMTANG",
"first_name": "JOANNA MARIE",
"name_prefix": "Miss",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-15",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030978",
"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 Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.