Gambaru Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GAMBARU CORP

Practice address

999 Broadway
Suite 100
Saugus, MA 01906-4521

Phone

(781) 558-9565

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Dolores I Kershaw, OTR/L

Title

President

Phone

(781) 558-9565

Specialties & licenses 5

Addresses

Other identifiers 1

Tax ID family

Gambaru Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gambaru Corp

  • Speech-Language Pathologist
  • Saugus, MA
  • NPI 1881984128
  NPD tax ID
• Gambaru Corporation

  • Pediatric Occupational Therapist
  • Saugus, MA
  • NPI 1194974683
  NPD tax ID

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1053601393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BROADWAY",
            "address_2": "SUITE 100",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064521",
            "telephone_number": "781-558-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BROADWAY",
            "address_2": "SUITE 100",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064521",
            "telephone_number": "781-558-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBARU CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "KERSHAW",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-558-9565",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Human Factors",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324621",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Ford, MS
• Arianne French
• Veronica Marie Gaiser, DMD
• Catherine Ann Galenius, MSW, LICSW
• Michael W Gallagher, PT,DPT
• Gambaru Corp
• Gambaru Corporation
• Joyce Anne Gannon, P.T.
• Caroline W Gatua, RN
• Priscilla Geha, CCC

• Physical Therapist in Saugus, MA
• Providers in Saugus, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.