Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clyde Lace De Guzman Gorobat

Individual provider Physical Therapist · NPI 1174410013

Clyde Lace De Guzman Gorobat is a Physical Therapist in Private Practice in Woodside, New York. Qualified in 2014, 12 years ago. Practices with Solar Health Physical Therapy and Acupuncture PC, a 6-clinician group. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2025

Practice location Address checks out

4312 56th St Apt F1
Woodside, NY 11377
Phone: (347) 829-3890
Fax: (347) 829-3888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 054317 (NY)

Record details

NPI number1174410013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address4312 56th Street, Apt 1f, Woodside, NY 11377

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Solar Health Physical Therapy And Acupuncture Pc — 6 clinicians
Accepts Medicare assignment Not indicated

Other providers in Woodside