Active NPI
Gilberto A Diaz, DPT
- Physical Therapist
- Fresh Meadows, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034936
- Practice address
- 17660 Union Tpke
Suite 195
Fresh Meadows, NY 11366-1526 - Phone
- (718) 820-9300
- NPI assigned
- Apr 19, 2012
- Last updated
- Sep 30, 2015
- 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 | 034936 | NY | Primary |
Addresses
Primary practice location
17660 Union Tpke
Suite 195
Fresh Meadows, NY 11366-1526
Mailing address
17660 Union Tpke
Suite 195
Fresh Meadows, NY 11366-1526
Phone (718) 820-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2322 30TH Ave
Astoria, NY 11102-3255
Phone (718) 545-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034936 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Sports, Physical & Orthopedic Rehabilitative Therapy Services | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| Whitestone Physical Therapy of Queens PC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763
111 E 210th St
Bronx, NY 10467
163 New Hyde Park Rd
Franklin Square, NY 11010
Phone (516) 616-1111
17660 Union Tpke
Ste 195
Fresh Meadows, NY 11366
Phone (718) 820-9300
15012 14th Ave
Ste LL1
Whitestone, NY 11357
Phone (718) 746-8757
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba Advanced S.P.O.R.T.S.
- Physical Therapy Clinic/Center
- Fresh Meadows, NY
- NPI 1164460879
Physical Therapist
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Family Medicine Physician
- New York, NY
- NPI 1760288278
-
- Physical Therapist
- Whitestone, NY
- NPI 1649279019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1780941443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"address_2": "SUITE 195",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661526",
"telephone_number": "718-820-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17660 UNION TPKE",
"address_2": "SUITE 195",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661526",
"telephone_number": "718-820-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "GILBERTO",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-19",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.