Active NPI
Richard Gardiner, PT
- Physical Therapist
- Brewster, MA
National Provider Identifier
1023657541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9766
- Practice address
- 383 S Orleans Rd
Brewster, MA 02631-2870 - Phone
- (508) 240-3500
- NPI assigned
- Jan 1, 2020
- Last updated
- Jan 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9766 | MA | Primary |
Addresses
Primary practice location
383 S Orleans Rd
Brewster, MA 02631-2870
Mailing address
383 S Orleans Rd
Brewster, MA 02631-2870
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9766 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577836800000",
"number": "1023657541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 S ORLEANS RD",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 S ORLEANS RD",
"city": "BREWSTER",
"state": "MA",
"postal_code": "026312870",
"telephone_number": "508-240-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "RICHARD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-01",
"last_updated": "2020-01-01",
"certification_date": "2020-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "9766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, MA
- Sharon G. Ervin, CNP
- Fran Farnsworth, LICSW
- Rebecca Fischer, M.A.
- Kimberly Katherine Fitzgerald, MSW, LICSW
- Susan Anthony Fredrickson, R.N., M.S.N., C.S.
- Geriatric Facilities of Cape Cod, Inc. (Pleasant Bay Nursing & Rehabilitation Center)
- Jane Orkin Glazer, NP
- Barbara M Gleason, D.O.
- Alison Joan Gorman, APRN
- Ellen D Gould, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.