CLYDE LACE DE GUZMAN GOROBAT
NPI 1174410013
Physical Therapist in Woodside, NY
About Clyde Lace De Guzman Gorobat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLYDE LACE DE GUZMAN GOROBAT (NPI 1174410013) is an individual physical therapist in Woodside, New York, licensed in New York (054317) and active in the NPI registry since June 2025. She is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clyde Lace De Guzman Gorobat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clyde Lace Gorobat's NPI number?
The NPI number for Clyde Lace Gorobat is 1174410013. It was assigned to this individual provider in the NPPES registry on June 23, 2025.
Where is Clyde Lace Gorobat located?
Clyde Lace Gorobat practices at 4312 56th Street, Apt F1, Woodside, NY 11377. The listed phone number is (347) 829-3890.
What is Clyde Lace Gorobat's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Clyde Lace Gorobat enrolled in Medicare?
Yes. Clyde Lace Gorobat is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Clyde Lace Gorobat was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.