Active NPI
Gary Glenn Gregorio, BSPT
- Physical Therapist
- Eatontown, NJ
National Provider Identifier
1831483478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00616800
- Practice address
- 3 Industrial Way E
Eatontown, NJ 07724-3318 - Phone
- (732) 544-1557
- NPI assigned
- May 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 40QA00616800 | NJ | Primary |
Addresses
Primary practice location
3 Industrial Way E
Eatontown, NJ 07724-3318
Mailing address
18 Vermeer Dr Apt 19
South Amboy, NJ 08879-2341
Phone (732) 407-7895
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00616800 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1831483478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 VERMEER DR APT 19",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088792341",
"telephone_number": "732-407-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 INDUSTRIAL WAY E",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243318",
"telephone_number": "732-544-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORIO",
"first_name": "GARY",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"credential": "BSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00616800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.