Individual provider Active NPI

Githu George Karipelil Varghese

  • Physical Therapist
  • Floral Park, NY
National Provider Identifier
1780320358
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046295 Issued in NY
Practice address
8537 262ND St
Floral Park, NY 11001-1127
Phone
(516) 304-4773
NPI assigned
May 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 046295 NY Primary

Addresses

Primary practice location

8537 262ND St
Floral Park, NY 11001-1127

Mailing address

8537 262ND St
Floral Park, NY 11001-1127
Phone (516) 304-4773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512000703 NY Practitioner - Physical Therapist in Private Practice 7315324381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046295NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Family Medical Associates PLLC PastSince May 30, 2016 Accepting new patients

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1780320358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8537 262ND ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011127",
            "telephone_number": "516-304-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 262ND ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011127",
            "telephone_number": "516-304-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIPELIL VARGHESE",
        "first_name": "GITHU GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.

Verify at the official NPI Registry.