MARIANO FREDERICO GAVIOLA
NPI 1558580647
Physical Therapist in Montebello, NY

Active since April 25, 2007
28B INDIAN ROCK, MONTEBELLO, NY 10901(845) 368-2180 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mariano Frederico Gaviola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIANO FREDERICO GAVIOLA (NPI 1558580647) is an individual physical therapist in Montebello, New York, licensed in New York (014901-1) and active in the NPI registry since April 2007. He maintains a secondary practice location in West Nyack and is a graduate of Other (1992).

NPPES Registry Identity

NPI1558580647
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMARIANO FREDERICO GAVIOLA
Location Address28B INDIAN ROCKMontebello, NY 10901-4907
Mailing Address2244 Palisades Center DrWest Nyack, NY 10994-6402
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 25, 2007
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedDecember 22, 2023
✔ NPI 1558580647 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 · 014901-1
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.
28B INDIAN ROCK, Montebello, NY 10901

Secondary Practice Location 1

Location 12244 Palisades Center DrWest Nyack, NY 10994-6402 · Phone (845) 358-7828

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariano Frederico Gaviola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638198120
PECOS Enrollment IDI20051114001015

Medicare Billing Reassignment

Medicare enrollment records show Mariano Frederico Gaviola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
89 services15 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
72 services13 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
61 services12 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
28B INDIAN ROCK
MONTEBELLO, NY 10901
Physical Therapist
28B INDIAN ROCK
MONTEBELLO, NY 10901
Physical Therapist
28B INDIAN ROCK
MONTEBELLO, NY 10901
Physical Therapist
28B INDIAN ROCK
MONTEBELLO, NY 10901
Specialist
28B INDIAN ROCK
MONTEBELLO, NY 10901
Physical Therapy Assistant
28B INDIAN ROCK
MONTEBELLO, NY 10901

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 Mariano Frederico Gaviola's NPI number?

The NPI number for Mariano Frederico Gaviola is 1558580647. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Mariano Frederico Gaviola located?

Mariano Frederico Gaviola practices at 28B Indian Rock, Montebello, NY 10901. The listed phone number is (845) 368-2180.

What is Mariano Frederico Gaviola's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mariano Frederico Gaviola enrolled in Medicare?

Yes. Mariano Frederico Gaviola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariano Frederico Gaviola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariano Frederico Gaviola reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Mariano Frederico Gaviola'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 Mariano Frederico Gaviola was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.