Individual provider Active NPI

Gilgia Prumbs, PT

  • Physical Therapist
  • Kingsport, TN
National Provider Identifier
1003874249
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2424 Issued in TN
Practice address
2408 Fort Henry Dr
Kingsport, TN 37664-3708
Phone
(423) 246-7272
Fax
(423) 246-2803
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2424 TN Primary

Addresses

Primary practice location

2408 Fort Henry Dr
Kingsport, TN 37664-3708

Mailing address

2408 Fort Henry Dr
Kingsport, TN 37664-3708
Phone (423) 246-7272

Other identifiers 1

IdentifierTypeStateIssuer
3650929MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2424TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Balance LLC PastSince Jul 1, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1003874249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643708",
            "telephone_number": "423-246-7272",
            "fax_number": "423-246-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643708",
            "telephone_number": "423-246-7272",
            "fax_number": "423-246-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUMBS",
        "first_name": "GILGIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT2424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3650929",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.