Individual provider Active NPI

Rebecca Gadbery, PT, DPT ATC

  • Physical Therapist
  • Paris, TX
National Provider Identifier
1124411434
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1255249 Issued in TX
Practice address
201 N Collegiate Dr
Suite 550
Paris, TX 75460-1494
Phone
(903) 784-3173
Fax
(903) 784-7912
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1255249 TX Primary

Addresses

Primary practice location

201 N Collegiate Dr
Suite 550
Paris, TX 75460-1494

Mailing address

201 N Collegiate Dr
Suite 550
Paris, TX 75460-1494

Other names 1

  • Rebecca Gault Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709001301 WA Practitioner - Physical Therapist in Private Practice 3072831429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Lab and Physical Therapy, PLLCGroup PAC ID 7810406766, 2 clinicians
Gordon Physical Therapy PLLCGroup PAC ID 1153229596, 10 clinicians

Practice addresses (Care Compare)

12403 E 1St Ave
Spokane Valley, WA 99216-0702
Phone (509) 370-7597

626 N Mullan Rd
Suite 4
Spokane Valley, WA 99206-3857
Phone (509) 892-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1255249TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Physical Therapy, PLLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Deer Park Physical Therapy Inc Physical Therapist CurrentSince May 21, 2018 Accepting new patients
Chambers Outpatient Rehab Services, LLC Physical Therapist Past Accepting new patients

Locations

707 S Park St
Deer Park, WA 99006
Phone (509) 276-8811

626 N Mullan Rd
Ste 4
Spokane Valley, WA 99206
Phone (509) 892-5442

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1124411434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N COLLEGIATE DR",
            "address_2": "SUITE 550",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754601494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N COLLEGIATE DR",
            "address_2": "SUITE 550",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754601494",
            "telephone_number": "903-784-3173",
            "fax_number": "903-784-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADBERY",
        "first_name": "REBECCA",
        "credential": "PT, DPT ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1255249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GAULT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.