Individual provider Active NPI

Joanna Marie Gumtang, RPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1710214580
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030978 Issued in NY
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

Updated by the provider on Apr 5, 2013

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 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

Enrollment IDStateProvider typePAC IDDetails
I20121126000113 NY Practitioner - Physical Therapist in Private Practice 8224289202 Reassigns benefits to 2 organizations

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
Core Physical Therapy Services PCGroup PAC ID 4486087442, 27 clinicians
Sutton Place Physical Therapy PCGroup PAC ID 8921999046, 13 clinicians

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

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Sutton Place Physical Therapy PC Physical Therapist CurrentSince Sep 1, 2025 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.

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.

Verify at the official NPI Registry.