Individual provider Active NPI

Giovanni Achas Tidoy

  • Physical Therapist
  • Astoria, NY
National Provider Identifier
1760038186
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042298 Issued in NY
Practice address
3001 Astoria Blvd
Astoria, NY 11102-1739
Phone
(718) 626-6666
Fax
(212) 656-1091
NPI assigned
Aug 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 042298 NY Primary

Addresses

Primary practice location

3001 Astoria Blvd
Astoria, NY 11102-1739

Mailing address

3001 Astoria Blvd
Astoria, NY 11102-1739
Phone (917) 267-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911000246 NY Practitioner - Physical Therapist in Private Practice 4789913104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
New York Plaza Physical Therapy PCGroup PAC ID 7719384957, 3 clinicians
Astoria Physical Therapy Rehabilitation PCGroup PAC ID 9032450242, 2 clinicians

Practice addresses (Care Compare)

1 New York PLZ
Concourse Level Suite L
New York, NY 10004-1901
Phone (646) 886-8687

3001 Astoria Blvd
Astoria, NY 11102-1739
Phone (917) 267-7470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042298NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Astoria Physical Therapy Rehabilitation PC Physical Therapist CurrentSince Aug 23, 2019 Accepting new patients
New York Plaza Physical Therapy PC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients

Locations

3001 Astoria Blvd
Astoria, NY 11102
Phone (732) 898-3932

1 New York Plz
New York, NY 10004
Phone (646) 918-6883

1 New York Plz
Ste L
New York, NY 10004
Phone (212) 256-1171

Organizations & group practices 2

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1760038186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021739",
            "telephone_number": "917-267-7470",
            "fax_number": "212-656-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021739",
            "telephone_number": "718-626-6666",
            "fax_number": "212-656-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDOY",
        "first_name": "GIOVANNI",
        "middle_name": "ACHAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.