Individual provider Active NPI

Maurice Antimano Gayatgay, P.T.

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1831414382
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028280 Issued in NY
Practice address
18230 Wexford Ter Apt 6Aa
Jamaica, NY 11432-3138
Phone
(347) 753-2550
NPI assigned
Mar 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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 028280 NY Primary

Addresses

Primary practice location

18230 Wexford Ter Apt 6Aa
Jamaica, NY 11432-3138

Mailing address

18230 Wexford Ter Apt 6Aa
Jamaica, NY 11432-3138
Phone (347) 753-2550

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

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1831414382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 WEXFORD TER APT 6AA",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323138",
            "telephone_number": "347-753-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 WEXFORD TER APT 6AA",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323138",
            "telephone_number": "347-753-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYATGAY",
        "first_name": "MAURICE",
        "middle_name": "ANTIMANO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.