Active NPI
Laurie S Gittelman
- Physical Therapist
- New York, NY
National Provider Identifier
1760626873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011601
- Practice address
- 316 W 93Rd St
5F
New York, NY 10025-7233 - Phone
- (646) 709-6272
- Fax
- (212) 866-5239
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- 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 | 011601 | NY | Primary |
Addresses
Primary practice location
316 W 93Rd St
5F
New York, NY 10025-7233
Mailing address
316 W 93Rd St
5F
New York, NY 10025-7233
Phone (646) 709-6272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011601 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1760626873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W 93RD ST",
"address_2": "5F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257233",
"telephone_number": "646-709-6272",
"fax_number": "212-866-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W 93RD ST",
"address_2": "5F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257233",
"telephone_number": "646-709-6272",
"fax_number": "212-866-5239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTELMAN",
"first_name": "LAURIE",
"middle_name": "S",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.