Individual provider Active NPI

Mizar Rosillon Gupit, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1851933634
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042882 Issued in NY
Practice address
333 E 100TH St
New York, NY 10029-6605
Phone
(212) 987-6300
NPI assigned
Oct 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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 042882 NY Primary

Addresses

Primary practice location

333 E 100TH St
New York, NY 10029-6605

Mailing address

3241 43Rd St Apt 2F
Astoria, NY 11103-2726
Phone (201) 952-8612

Other practice location 1

1345 Avenue Of The Americas Fl 11
New York, NY 10105-0013
Phone (212) 981-1977

Other practice location 2

8415 4th Ave Apt A17
Brooklyn, NY 11209-4624
Phone (718) 921-9721

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
042882NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Physical Therapy PLLC PastSince Jun 1, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1851933634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 43RD ST APT 2F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032726",
            "telephone_number": "201-952-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 100TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296605",
            "telephone_number": "212-987-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Avenue Of The Americas Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101050013",
            "country_code": "US",
            "telephone_number": "212-981-1977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8415 4th Ave Apt A17",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112094624",
            "country_code": "US",
            "telephone_number": "718-921-9721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPIT",
        "first_name": "MIZAR",
        "middle_name": "ROSILLON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-13",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042882",
            "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 Mar 7, 2026; 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.