New York Gao Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0165431 Issued in NY

Legal business name

NEW YORK GAO PHYSICAL THERAPY PC

Practice address

401 Broadway
Suite 1808
New York, NY 10013-3018

Phone

(212) 625-9290

Fax

(212) 925-3101

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Greg X Gao, DIPL AC LAC PT DPT

Title

President

Phone

(212) 625-9290

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xingong Gao, LAC PT DPT

  • Physical Therapist
  • New York, NY
  • NPI 1013998962

  Acupuncturist

  Medicare reassignment NPD
• Tao Fen Cheng, F.N.P

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1285084194
  NPD (past)
• Thomas Choi, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1669022141
  NPD (past)
• Wensong Li, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
  • NPI 1437146743
  NPD (past)
• Nicouhl Jay Tolentino Rivera, PT, DPT

  • Physical Therapist
  • New City, NY
  • NPI 1639755895
  NPD (past)
• Ping Sun, PT DPT

  • Physical Therapist
  • New York, NY
  • NPI 1467512939
  NPD (past)
• Sijia Zhang, DPT

  • Physical Therapist
  • Flushing, NY
  • NPI 1275294266
  NPD (past)
• James Dongbo Tang, M.D.

  • Anesthesiology Physician
  • Pueblo, CO
  • NPI 1831503846
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1942374418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BROADWAY",
            "address_2": "SUITE 1808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133018",
            "telephone_number": "212-625-9290",
            "fax_number": "212-925-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BROADWAY",
            "address_2": "SUITE 1808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133018",
            "telephone_number": "212-625-9290",
            "fax_number": "212-925-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK GAO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-625-9290",
        "authorized_official_credential": "DIPL AC LAC PT DPT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0022221",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0165431",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0139181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.