Gamal Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GAMAL PHYSICAL THERAPY PC

Practice address

1767 Southern Blvd
Bronx, NY 10460-4801

Phone

(718) 682-3152

NPI assigned

Jun 13, 2020

Organization subpart

No

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

Authorized official

Name

Mohamed Awad

Title

Owner

Phone

(929) 466-1255

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1952926115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9747 SHORE RD APT C3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097624",
            "telephone_number": "929-466-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604801",
            "telephone_number": "718-682-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMAL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-466-1255"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WePt",
            "affiliation": "N",
            "address_1": "1767 Southern Blvd",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104604801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gerald Galst, MD
• Joab Rafael Galvan Bustillos, MD
• Marie Galvao, ANP-C
• Catherine A Galvin, RNP
• Seamus Ronan Galvin, N.P.
• Marisilvia Gamarra
• Latasha Lee Gamble
• Rebekah Gamble
• Blanca Gamboa
• Elizabeth Gamboa, MD

• Physical Therapy Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.