Anu Gandotra, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019087 Issued in PA

Practice address

337 Escoll Drive
East Stroudsburg, PA 18301

Phone

(732) 804-8028

NPI assigned

Dec 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• U.S. Healthcare Services, LLC

  • Early Intervention Provider Agency
  • East Stroudsburg, PA
  • NPI 1861638702
  NPD (past) Authorized official
• U.S. Healthcare, LLC

  • Early Intervention Provider Agency
  • East Stroudsburg, PA
  • NPI 1255578753
  NPD (past) Authorized official

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1740426634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 BLUE MOUNTAIN LK",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017901",
            "telephone_number": "732-804-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 ESCOLL DRIVE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "732-804-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDOTRA",
        "first_name": "ANU",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT019087",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galaxy Mobile Diagnostic Services LLC
• Kelly Alysson Gallagher, M.S., CCC-SLP
• Kelsey Rose Galletta
• Scott Rodney Gallup Jr., LAT, ATC
• Kevin James Gamble, MPT
• Susheer Gandotra, M.D.
• Lynne M Garris, DIETICIAN
• Megan Gearhart, MS.CCC.SLP
• Kevin T.C. Geffe, D.O.
• Dina Geren Bocko, PAC

• Physical Therapist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.