Organization Active NPI

RM Gutierrez Physical Therapy, PC

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1942947015
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RM GUTIERREZ PHYSICAL THERAPY, PC
Practice address
500 Old Country Rd Ste 300
Garden City, NY 11530-1944
Phone
(718) 909-4597
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Marife Alfonso-Gutierrez, PT
Title
Physical Therapit
Phone
(718) 909-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

500 Old Country Rd Ste 300
Garden City, NY 11530-1944

Mailing address

95 Mayfair Ave
Floral Park, NY 11001-2446
Phone (718) 909-4597

Other practice location 1

95 Mayfair Ave
Floral Park, NY 11001-2446
Phone (718) 909-4597

National Provider Directory

National Provider Directory

Locations

500 Old Country Rd
Ste 300
Garden City, NY 11530
Phone (516) 757-4466

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1942947015",
    "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": "718-909-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD STE 300",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301944",
            "telephone_number": "718-909-4597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Mayfair Ave",
            "address_purpose": "LOCATION",
            "city": "Floral Park",
            "state": "NY",
            "postal_code": "110012446",
            "country_code": "US",
            "telephone_number": "718-909-4597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RM GUTIERREZ PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "ALFONSO-GUTIERREZ",
        "authorized_official_first_name": "MARIFE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIT",
        "authorized_official_telephone_number": "718-909-4597",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.