Active NPI
Robert Thomas Gambill, PT
- Physical Therapist
- Andrews, NC
National Provider Identifier
1033207246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2943
- Practice address
- 13926 US 19
Andrews, NC 28901 - Phone
- (828) 321-2048
- Fax
- (828) 321-5669
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2943 | NC | Primary |
Addresses
Primary practice location
13926 US 19
Andrews, NC 28901
Mailing address
PO Box 610
Andrews, NC 28901
Phone (828) 321-2048
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34901 | Other | NC | BLUE CROSS BLUE SHIELD |
| 7210175 | Medicaid | NC | |
| 7200113 | Other | MEDICAID NC CROSSOVER | |
| 4028019 | Other | TN | BCBS |
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 |
|---|---|---|---|
| 2943 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033207246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610",
"city": "ANDREWS",
"state": "NC",
"postal_code": "28901",
"telephone_number": "828-321-2048",
"fax_number": "828-321-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13926 US 19",
"city": "ANDREWS",
"state": "NC",
"postal_code": "28901",
"telephone_number": "828-321-2048",
"fax_number": "828-321-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBILL",
"first_name": "ROBERT",
"middle_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "34901",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7210175",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID NC CROSSOVER",
"identifier": "7200113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4028019",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Andrews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.