Active NPI
Gebeth Tamayo Villanueva, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1962700658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025659
- Practice address
- 822 Greenwich St
Apt. 3G
New York, NY 10014-5162 - Phone
- (212) 517-4980
- NPI assigned
- Mar 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 025659 | NY | Primary |
Addresses
Primary practice location
822 Greenwich St
Apt. 3G
New York, NY 10014-5162
Mailing address
52 Sterling LN
Sands Point, NY 11050-1241
Phone (646) 232-9064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025659 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamayo Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
Locations
3 E 65th St
Apt 4A
New York, NY 10065
Phone (212) 535-2621
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1326299371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613260800000",
"number": "1962700658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 STERLING LN",
"city": "SANDS POINT",
"state": "NY",
"postal_code": "110501241",
"telephone_number": "646-232-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 GREENWICH ST",
"address_2": "APT. 3G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100145162",
"telephone_number": "212-517-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "GEBETH",
"middle_name": "TAMAYO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2021-02-14",
"certification_date": "2021-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Augusto Villanueva Rodriguez, MD, PHD
- Gezel Tamayo Villanueva-Fischberg, MS, PT
- Jareeza Villanueva-Fournier, REGISTERED NURSE
- Ana Villanueva, LMSW
- Dannielle Evie Villanueva
- Gerald Villanueva, M.D.
- Jerome Villanueva, PT
- Linda Villanueva, M.D.
- Mayra Villanueva, MS SPECIAL EDUCATOR
- Milton Manuel Villanueva, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.