Gathered Physiotherapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GATHERED PHYSIOTHERAPY AND WELLNESS, LLC

Practice address

6179 Olde Fields Way
Pfafftown, NC 27040-8223

Phone

(785) 307-2982

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanna Drew Koudele, DPT

Title

Owner, Provider

Phone

(785) 307-2982

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1063318665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 OLDE FIELDS WAY",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270408223",
            "telephone_number": "785-307-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 OLDE FIELDS WAY",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270408223",
            "telephone_number": "785-307-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHERED PHYSIOTHERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "KOUDELE",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "785-307-2982",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Pfafftown, NC
• Providers in Pfafftown, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.