Organization Active NPI

James Gott Physcial Therapy

  • Physical Therapy Clinic/Center
  • Mineola, NY
National Provider Identifier
1861637746
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4082 Issued in NY
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

Updated by the provider on Dec 8, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.