Active NPI
Marife Alfonso-Gutierrez, PT, ATP
- Pediatric Physical Therapist
- Floral Park, NY
National Provider Identifier
1861904922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 022897
- Practice address
- 95 Mayfair Ave
Floral Park, NY 11001-2446 - Phone
- (516) 358-5320
- NPI assigned
- Oct 30, 2017
- Last updated
- Oct 30, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 022897 | NY | Primary |
Addresses
Primary practice location
95 Mayfair Ave
Floral Park, NY 11001-2446
Mailing address
95 Mayfair Ave
Floral Park, NY 11001-2446
Phone (516) 358-5320
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nyc Doe | Past | Accepting new patients | |
| MK Spine and Joint Rehab, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23033/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- College Point, NY
- NPI 1639448343
-
- Pain Clinic/Center
- Hauppauge, NY
- NPI 1699239715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1861904922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MAYFAIR AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012446",
"telephone_number": "516-358-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MAYFAIR AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012446",
"telephone_number": "516-358-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONSO-GUTIERREZ",
"first_name": "MARIFE",
"credential": "PT, ATP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "022897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.