Gary C. Kimball, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6984 Issued in MA

Practice address

541 Main St
Suite 103
South Weymouth, MA 02190-1868

Phone

(781) 331-9600

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Sports and MuscularGroup PAC ID 5092606764, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Shore Sports & Muscular

  • Orthopedic Physical Therapist
  • East Weymouth, MA
  • NPI 1104822576
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033102199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 POWELL ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023605245",
            "telephone_number": "508-747-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-331-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "GARY",
        "middle_name": "C.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0363731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Lee Kerwin-Derrick, LICSW
• Anna-Lisa Abbatangelo Kilduff
• Francis J Kilduff, MD
• Michelle Kim
• Young Han Kim, MD
• Diane Penny King, NP
• Jacob Kogan, MD
• John Craig Konrad
• Sam Kontrakul, MD
• Andrea Kopasz, M.D.

• Physical Therapist in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.