Individual provider Active NPI

Gwenyth Gage, PT, DPT, ATC

  • Physical Therapist
  • Newport, VT
National Provider Identifier
1053829366
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0134798 Issued in VT
Practice address
417 VT Route 105
Newport, VT 05855-8531
Phone
(802) 334-2400
NPI assigned
Jan 21, 2018
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0134798 VT Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

417 VT Route 105
Newport, VT 05855-8531

Mailing address

417 VT Route 105
Newport, VT 05855-8531
Phone (802) 345-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220630001025 FL Practitioner - Physical Therapist in Private Practice 9638559164 Reassigns benefits to 1 organization
I20260601000083 VT Practitioner - Physical Therapist in Private Practice 9638559164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy, P.CGroup PAC ID 2062512593, 4 clinicians

Practice addresses (Care Compare)

417 VT Route 105
Newport, VT 05855-8531
Phone (802) 334-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0134798VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, P.C Physical Therapist CurrentSince Mar 18, 2026 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Westchase Physical Therapy and Medical Supply LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Tarpon Springs Hospital Foundation Inc PastSince May 29, 2022 Accepting new patients

Locations

3297 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 386-4688

12705 Race Track Rd
Westchase, FL 33626
Phone (813) 343-3960

417 Vt Route 105
Newport, VT 05855
Phone (802) 334-2400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1053829366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 VT ROUTE 105",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558531",
            "telephone_number": "802-345-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 VT ROUTE 105",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558531",
            "telephone_number": "802-334-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "GWENYTH",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134798",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.