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

Ellen Lim Gaviola

Individual provider Physical Therapist · NPI 1023236718

Ellen Lim Gaviola is a Physical Therapist in Private Practice in Spring Valley, New York. Qualified in 1999, 27 years ago. Practices with Sportscare of America, PC, a 132-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

2 Perlman Dr
Spring Valley, NY 10977-5245
Phone: (845) 371-2032
Fax: (845) 371-7290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 020520-1 (NY)

Record details

NPI number1023236718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2 Perlman Dr, Spring Valley, NY 10977-5245

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Sportscare Of America, Pc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Spring Valley