MICHELE M GOMEZ (PT) – Physical Therapist, NPI 1164929378

MICHELE M GOMEZ (PT) is a healthcare provider. based in Prospect park, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for MICHELE M GOMEZ (PT) is 1164929378

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE M GOMEZ (PT)
NPI
1164929378
Phone
Not provided
Address
360 N 8TH ST
Enumeration Date
12 April 2018
Last Update Date
12 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2013442499
Graduation Year
2014 (12 years ago)
PAC ID
9537536677
Group Practice PAC ID
7911387295
Professional Enrollment ID
I20221103000173
Address ID
NJ074705939WA30XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

8,725 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NY

Provider Addresses for MICHELE M GOMEZ (PT)

  • 360, North 8th Street, Prospect Park, Passaic County, New Jersey, 07508, United States

    PROSPECT PARK, NJ 075082204

    Phone:

    Type: Mailing

  • 401 N MIDDLETOWN RD

    PEARL RIVER, NY 109651298

    Phone: (973) 851-1221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221103000173IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77456$0
97530Therapy procedure using functional activities59554$0
97116Therapy procedure for walking training, each 15 minutes59151$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37651$0
97140Therapy procedure using manual technique, each 15 minutes14614$0
View full utilization report →

Insurance plans in this area (ZIP 07508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911387295View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Can I verify MICHELE M GOMEZ (PT) with an NPI only?
You can start verification with NPI 1164929378 for MICHELE M GOMEZ (PT), then check state licensing separately.
Can I rely on MICHELE M GOMEZ (PT) being an active provider?
As of the registry snapshot, MICHELE M GOMEZ (PT) is marked active.
What is MICHELE M GOMEZ (PT) best known for clinically?
Directory data describes MICHELE M GOMEZ (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MICHELE M GOMEZ (PT) based?
MICHELE M GOMEZ (PT) is tied to Prospect Park, New Jersey in the data we show; additional addresses may exist on the full record.
Why does MICHELE M GOMEZ (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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