Organization Active NPI

Gaitway Physical Therapy PC

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1710290150
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025236-1 Issued in NY
Legal business name
GAITWAY PHYSICAL THERAPY PC
Practice address
6 Arcadia LN
Hicksville, NY 11801-4437
Phone
(516) 623-4769
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy S Mangano, M.P.T.
Title
Owner
Phone
(516) 659-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 025236-1 NY Primary

Addresses

Primary practice location

6 Arcadia LN
Hicksville, NY 11801-4437

Mailing address

35 Earl Dr
Merrick, NY 11566-1708
Phone (516) 623-4769

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1710290150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EARL DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661708",
            "telephone_number": "516-623-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ARCADIA LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014437",
            "telephone_number": "516-623-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAITWAY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "MANGANO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-659-8252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025236-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.