Kimberly Anne Gaynor

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1000381 Issued in PA

Practice address

1215 Hulton Rd
Oakmont, PA 15139-1135

Phone

(412) 826-6038

NPI assigned

Sep 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1043980402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HULTON RD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HULTON RD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391135",
            "telephone_number": "412-826-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYNOR",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1000381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert F Flynn, D.C.
• Kevin L Flynn, D.M.D.
• Mark Herbert Flynn, D.C.
• Flynns Chiropractor Services
• William Edward Garver, DDS
• Richard Gerber
• Ggnsc Oakmont LP
• Joyce Ellen Gibb, CRNP
• Maria D Gioia, DO
• Temple Mary Girolami, MSOT, OTR/L, CDP

• Physical Therapy Assistant in Oakmont, PA
• Providers in Oakmont, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.