Active NPI
Elizabeth Gunn, P.T.
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1932407301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009397-1
- Practice address
- 57 Willoughby St
Third Floor
Brooklyn, NY 11201-5257 - Phone
- (718) 522-2122
- Fax
- (718) 522-6983
- NPI assigned
- Mar 8, 2011
- Sex
- Female
- 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 | 009397-1 | NY | Primary |
Addresses
Primary practice location
57 Willoughby St
Third Floor
Brooklyn, NY 11201-5257
Mailing address
90 Douglass St
Top Floor
Brooklyn, NY 11231-4715
Phone (917) 921-0476
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009397-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1932407301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 DOUGLASS ST",
"address_2": "TOP FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112314715",
"telephone_number": "917-921-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 WILLOUGHBY ST",
"address_2": "THIRD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015257",
"telephone_number": "718-522-2122",
"fax_number": "718-522-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "ELIZABETH",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009397-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.