DR. GARY DESPRES P.T.
NPI 1639380892
Physical Therapist in Southold, NY
About Dr. Gary Despres P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY DESPRES P.T. (NPI 1639380892) is an individual physical therapist in Southold, New York, licensed in New York (028374) and active in the NPI registry since May 2007. He maintains 2 additional practice locations and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
- 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.
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gary Despres P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Gary Despres reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southold, NY 11971
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Gary A Despres Physical Therapy PC
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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11971 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Gary Despres's NPI number?
The NPI number for Gary Despres is 1639380892. It was assigned to this individual provider in the NPPES registry on May 26, 2007.
Where is Gary Despres located?
Gary Despres practices at 53345 Route 25 Bldg 8-1, Southold, NY 11971. The listed phone number is (631) 765-8760.
What is Gary Despres's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Gary Despres enrolled in Medicare?
Yes. Gary Despres is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gary Despres's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Despres reassigns Medicare benefits to Gary A. Despres Physical Therapy P.C. (Southold, 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 Gary Despres'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 Gary Despres was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Gary Despres, P.T. · NPI 1639380892
Physical Therapist provider in Southold, New York. Individual provider, active in the CMS NPPES registry since May 26, 2007.
## Identity
- **NPI:** 1639380892 (Entity type: Individual)
- **Enumerated:** May 26, 2007
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 028374 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 53345 ROUTE 25 BLDG 8-1, Southold, NY 11971-4643
- **Phone:** (631) 765-8760 · **Fax:** (631) 765-8761
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Gary A. Despres Physical Therapy P.C. (NPI 1144999053, Southold, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1639380892) · Data from the CMS NPPES public registry.