Active NPI
Kendra Nicole Gilbert, PT, DPT
- Physical Therapist
- Hickory, NC
National Provider Identifier
1104609460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT032416
- Practice address
- 420 N Center St
Hickory, NC 28601-5033 - Phone
- (828) 315-3186
- NPI assigned
- Aug 18, 2023
- Last updated
- Jul 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22502 | NC | |
| Physical Therapist | 225100000X | PT032416 | PA | Primary |
Addresses
Primary practice location
420 N Center St
Hickory, NC 28601-5033
Mailing address
5 Elm St
Canton, NY 13617-2423
Phone (315) 212-3378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22502 | NC | MD | Physical Therapist |
| PT032416 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1104609460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ELM ST",
"city": "CANTON",
"state": "NY",
"postal_code": "136172423",
"telephone_number": "315-212-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N CENTER ST",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015033",
"telephone_number": "828-315-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "KENDRA",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2024-07-27",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22502",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.