Gaston Rehab Associates, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

8975 Issued in NC

Legal business name

GASTON REHAB ASSOCIATES, INC

Practice address

1385 E Garrison Blvd
Gastonia, NC 28054-5127

Phone

(704) 864-4424

Fax

(704) 864-2125

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Brian Joseph Boyle, DPTNPI 1629078159

Title

President, Physical Therapist

Phone

(704) 864-4424

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Joseph Boyle, PT,DPT

  • Physical Therapist
  • Mooresville, NC
  • NPI 1629078159
  NPD (past) Authorized official
• Joseph Henry Nowak, P.T., D.P.T.

  • Physical Therapist
  • Belmont, NC
  • NPI 1093715765
  NPD (past)
• Roger W Szymczyk, LPT

  • Orthopedic Physical Therapist
  • Gastonia, NC
  • NPI 1467652248
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1124028758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545127",
            "telephone_number": "704-864-4424",
            "fax_number": "704-864-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E GARRISON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545127",
            "telephone_number": "704-864-4424",
            "fax_number": "704-864-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON REHAB ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "704-864-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "8975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3484600",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211587",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D3291",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "078V2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/POS",
            "identifier": "7559538",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaston Oral & Maxillofacial Surgery
• Gaston Pharmacy LLC
• Gaston Primary Care PLLC
• Gaston Radiology
• Gaston Radiology PA
• Gaston Residential Services, Icf/Mr, Inc.
• Gaston Residential Services, Icf/Mr, Inc.
• Gaston Residential Services, Icf/Mr, Inc.
• Gaston Residential Services, Inc.
• Gaston Residential Services, Inc.

• Physical Therapy Clinic/Center in Gastonia, NC
• Providers in Gastonia, 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 8, 2012; 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.