Active NPI
Gaebriel Gaitano
- Physical Therapist
- Milford, DE
National Provider Identifier
1720452204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0002888
- Practice address
- 1017 Mattlind Way
Milford, DE 19963-5369 - Phone
- (302) 514-9597
- NPI assigned
- Nov 19, 2015
- Last updated
- Sep 15, 2017
- 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 | J1-0002888 | DE | Primary |
Addresses
Primary practice location
1017 Mattlind Way
Milford, DE 19963-5369
Mailing address
23058 Meadow Wood CT Unit 207
Seaford, DE 19973-7743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002888 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Care Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Lakeside Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Saints Home Healthcare, LLC | Past | Accepting new patients |
Locations
404 E Front St
Laurel, DE 19956
Phone (302) 280-6920
24488 Sussex Hwy
Ste 2
Seaford, DE 19973
Phone (302) 629-5766
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.
-
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- NPI 1023528841
Physical Therapist
-
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- Laurel, DE
- NPI 1184854929
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1720452204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23058 MEADOW WOOD CT UNIT 207",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199737743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 MATTLIND WAY",
"city": "MILFORD",
"state": "DE",
"postal_code": "199635369",
"telephone_number": "302-514-9597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAITANO",
"first_name": "GAEBRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-19",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
- Karen Marie Freid, PHARM.D.
- Albert Hartman French, MD FACOG
- Fresenius Medical Care Southern Delaware, LLC (Fresenius Medical Care Milford)
- Charles Frezza, RPH
- Shawn William Gaines, DO
- Hunter L Gant
- Earvin E Garibaldi Bernuil, DMD
- Garrett W Herring DC PA (Herring Chiropractic Clinic)
- Lindie Elaine Garrett, NP
- Gary M Piekarek MD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.