Individual provider Active NPI

Gebeth Tamayo Villanueva, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1962700658
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025659 Issued in NY
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

Updated by the provider on Feb 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210217000293 NY Practitioner - Physical Therapist in Private Practice 7012322498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025659NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamayo Physical Therapy P.C. Physical Therapist CurrentSince Jan 1, 2021 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.

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

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.

Verify at the official NPI Registry.