Individual provider Active NPI

Ariana Gagliardi, DPT

  • Physical Medicine & Rehabilitation Physician
  • Locust Valley, NY
National Provider Identifier
1932774486
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
047154-01 Issued in NY
Practice address
11 Birch Hill Rd
Locust Valley, NY 11560-1820
Phone
(516) 801-6020
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 047154-01 NY Primary

Addresses

Primary practice location

11 Birch Hill Rd
Locust Valley, NY 11560-1820

Mailing address

467 New York Ave
Huntington, NY 11743-3557
Phone (631) 424-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prosportspt@mac.com

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

State licenses

LicenseStateTypeSpecialty
047154-01NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1932774486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 NEW YORK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433557",
            "telephone_number": "631-424-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601820",
            "telephone_number": "516-801-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDI",
        "first_name": "ARIANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "047154-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prosportspt@mac.com",
            "affiliation": "N",
            "address_1": "11 Birch Hill Rd",
            "city": "Locust Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115601820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.