Individual provider Active NPI

George Dgheim, PT,DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1992365787
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044397 Issued in NY
Practice address
9920 4TH Ave Ste 103
Brooklyn, NY 11209-8379
Phone
(718) 238-9873
NPI assigned
Jun 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 044397 NY Primary

Addresses

Primary practice location

9920 4TH Ave Ste 103
Brooklyn, NY 11209-8379

Mailing address

900 Route 9 N Ste 410
Woodbridge, NJ 07095-1003
Phone (201) 801-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106000765 NY Practitioner - Physical Therapist in Private Practice 5395179048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

1351 Forest Ave
Staten Island, NY 10302-2049
Phone (718) 390-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044397NYMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince May 4, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

900 Route 9 N
Ste 410
Woodbridge, NJ 07095

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

9020 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120

194 Joralemon St
Brooklyn, NY 11201
Phone (718) 643-7116

9920 4th Ave
Ste 103
Brooklyn, NY 11209
Phone (718) 238-9873

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1992365787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 9 N STE 410",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951003",
            "telephone_number": "201-801-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE STE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098379",
            "telephone_number": "718-238-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DGHEIM",
        "first_name": "GEORGE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.