Active NPI
James Gott Physcial Therapy
- Physical Therapy Clinic/Center
- Mineola, NY
National Provider Identifier
1861637746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 4082
- Legal business name
- JAMES GOTT PHYSCIAL THERAPY
- Practice address
- 184 Old Country Rd
Mineola, NY 11501-4223 - Phone
- (516) 747-5042
- Fax
- (516) 358-6946
- NPI assigned
- Dec 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Wenger Wenger, DPT
- Title
- Head PT
- Phone
- (516) 328-2288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 4082 | NY | Primary |
Addresses
Primary practice location
184 Old Country Rd
Mineola, NY 11501-4223
Mailing address
2035 Lakeville Rd
Suite 207
New Hyde Park, NY 11040-1661
Phone (516) 328-2288
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228694400000",
"number": "1861637746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 LAKEVILLE RD",
"address_2": "SUITE 207",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401661",
"telephone_number": "516-328-2288",
"fax_number": "516-358-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 OLD COUNTRY RD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014223",
"telephone_number": "516-747-5042",
"fax_number": "516-358-6946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES GOTT PHYSCIAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-08",
"last_updated": "2008-12-08",
"status": "A",
"authorized_official_last_name": "WENGER",
"authorized_official_first_name": "DAVID WENGER",
"authorized_official_title_or_position": "HEAD PT",
"authorized_official_telephone_number": "516-328-2288",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "4082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.