Pamela Renee Gates, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT- 25556 Issued in FL

Practice address

1001 S Shannon Ave
Indialantic, FL 32903-3334

Phone

(352) 514-2167

Fax

(321) 234-7910

NPI assigned

Jun 16, 2010

Last updated

Sep 13, 2021By the provider in NPPES

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

Other names 1

• Dr. Pamela Renee Callaway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Gates Physical Therapy, LLC

  • Physical Therapist
  • Indialantic, FL
  • NPI 1841950680
  NPD Authorized official

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1104147958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S SHANNON AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033334",
            "telephone_number": "352-514-2167",
            "fax_number": "321-234-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S SHANNON AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033334",
            "telephone_number": "352-514-2167",
            "fax_number": "321-234-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "PAMELA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT- 25556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CALLAWAY",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean Marie C Fuller, PT, DPT
• Patrick Shepard Fuller, PT, DPT
• Kimberly Ann Beck Gallaher, P.T.
• Candice Gallion, DOM
• Gates Physical Therapy, LLC
• Jazmine M Gaudet
• Nikolaos Georgios Gavrilis, DDS
• Ashton Gelzinis
• Generations on the Beach
• Heather H. Gilotti, DPT

• Physical Therapist in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.