Active NPI
Melissa Gentile
- Physical Therapist
- East Greenbush, NY
National Provider Identifier
1811495013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042499
- Practice address
- 3 Springhurst Dr
East Greenbush, NY 12061-2261 - Phone
- (518) 479-7172
- Fax
- (518) 286-3798
- NPI assigned
- Jan 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042499 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 042499 | NY |
Addresses
Primary practice location
3 Springhurst Dr
East Greenbush, NY 12061-2261
Mailing address
3 Springhurst Dr
East Greenbush, NY 12061-2261
Phone (518) 479-7172
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1811495013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SPRINGHURST DR",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120612261",
"telephone_number": "518-479-7172",
"fax_number": "518-286-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SPRINGHURST DR",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120612261",
"telephone_number": "518-479-7172",
"fax_number": "518-286-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042499",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "042499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Greenbush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.