CLYDE LACE DE GUZMAN GOROBAT
NPI 1174410013
Physical Therapist in Woodside, NY

Active since June 23, 2025
4312 56TH STREET, APT F1, WOODSIDE, NY 11377(347) 829-3890(347) 829-3888 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Jun 23, 2025 (2 updates tracked since 2025).

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

NPI1174410013
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCLYDE LACE DE GUZMAN GOROBAT
Location Address4312 56TH STREET, APT F1Woodside, NY 11377
Mailing Address4312 56th Street, Apt 1fWoodside, NY 11377 · (347) 829-3890 · Fax (347) 829-3888
Fax(347) 829-3888
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 23, 2025
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1174410013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 054317
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4312 56TH STREET, APT F1, Woodside, NY 11377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clyde Lace De Guzman Gorobat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416443577
PECOS Enrollment IDI20251229001963

Medicare Billing Reassignments

2

Medicare enrollment records show Clyde Lace Gorobat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
833 58TH ST BSMT FLOOR
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
Physical Therapist
339 KINGS HIGHWAY
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Solar Health Physical Therapy And Acupuncture PC
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Clyde Lace Gorobat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Lace Gorobat reassigns Medicare benefits to 2 organizations: Chung Ying Physical Therapy And Acupuncture PC (Brooklyn, NY) and Solar Health Physical Therapy And Acupuncture P.C. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clyde Lace Gorobat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 10 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.