Individual provider Active NPI

Van Gamit Saligumba, PHYSICAL THERAPIST

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1801405543
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041210 Issued in NY
Practice address
3777 Independence Ave Apt 5J
Bronx, NY 10463-1414
Phone
(347) 847-7717
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 041210 NY Primary

Addresses

Primary practice location

3777 Independence Ave Apt 5J
Bronx, NY 10463-1414

Mailing address

3777 Independence Ave Apt 5J
Bronx, NY 10463-1414
Phone (347) 847-7717

Other practice location 1

1088 N Broadway Fl 2
Yonkers, NY 10701-1107
Phone (914) 964-4408 ext. 1527

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

LicenseStateTypeSpecialty
041210NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1801405543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 INDEPENDENCE AVE APT 5J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631414",
            "telephone_number": "347-847-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 INDEPENDENCE AVE APT 5J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631414",
            "telephone_number": "347-847-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 N Broadway Fl 2",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011107",
            "country_code": "US",
            "telephone_number": "914-964-4408 x1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALIGUMBA",
        "first_name": "VAN",
        "middle_name": "GAMIT",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.