Active NPI
Phillip Gomez, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1841530110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033555
- Practice address
- 1201 Broadway
New York, NY 10001-5405 - Phone
- (914) 497-7628
- Fax
- (646) 380-0164
- NPI assigned
- Feb 25, 2013
- Last updated
- Feb 6, 2014
- 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 | 033555 | NY | Primary |
Addresses
Primary practice location
1201 Broadway
New York, NY 10001-5405
Mailing address
1201 Broadway
Suite 1003
New York, NY 10001-5405
Phone (646) 380-0160
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": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1841530110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BROADWAY",
"address_2": "SUITE 1003",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015405",
"telephone_number": "646-380-0160",
"fax_number": "646-380-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015405",
"telephone_number": "914-497-7628",
"fax_number": "646-380-0164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "PHILLIP",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-25",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.