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

Mariano Frederico Gaviola

Individual provider Physical Therapist · NPI 1558580647

Mariano Frederico Gaviola is a Physical Therapist in Private Practice in Montebello, New York. Qualified in 1992, 34 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2007

Practice location Address checks out

28B Indian Rock
Montebello, NY 10901-4907
Phone: (845) 368-2180
Show map & directions

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

Additional practice locations (1)

  • 2244 Palisades Center Dr, West Nyack, NY 10994-6402 — (845) 358-7828

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 014901-1 (NY)

Record details

NPI number1558580647
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Montebello