Active NPI
Sidney Ailene Gaston, DPT
- Physical Therapist
- Vero Beach, FL
National Provider Identifier
1124501820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33568
- Practice address
- 1155 35TH LN Ste 100
Vero Beach, FL 32960-6522 - Phone
- (772) 257-3621
- NPI assigned
- Sep 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33568 | FL | Primary |
Addresses
Primary practice location
1155 35TH LN Ste 100
Vero Beach, FL 32960-6522
Mailing address
1155 35TH LN Ste 100
Vero Beach, FL 32960-6522
Phone (772) 257-3621
Other practice location 1
5018 Dr Phillips Blvd
Orlando, FL 32819-3310
Phone (407) 532-6815
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33568 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vero Orthopaedics II PA | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- sidney.gaston.p1@direct.veroortho.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Sebastian, FL
- NPI 1134441660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1124501820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 35TH LN STE 100",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606522",
"telephone_number": "772-257-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 35TH LN STE 100",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606522",
"telephone_number": "772-257-3621"
}
],
"practiceLocations": [
{
"address_1": "5018 Dr Phillips Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328193310",
"country_code": "US",
"telephone_number": "407-532-6815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASTON",
"first_name": "SIDNEY",
"middle_name": "AILENE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "33568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.