Individual provider Active NPI

Robert Gaston

  • Physical Therapist
National Provider Identifier
1154095867
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029646 Issued in PA
Practice address
48 MDG/Raf Lakenheath
Unit 5115
Apo, AE 09461-5210
Phone
(314) 226-8561
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X PT029646 PA Primary

Addresses

Primary practice location

48 MDG/Raf Lakenheath
Unit 5115
Apo, AE 09461-5210

Mailing address

48 MDG/Raf Lakenheath
Unit 5115
Apo, AE 09461-5210
Phone (314) 226-8561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901000075 PA Practitioner - Physical Therapist in Private Practice 8729484621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 5, 2021 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Aug 5, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

165 Glen Dr
Ste 8
Manchester, PA 17345
Phone (717) 978-5944

5108 E Trindle Rd
Ste 200
Mechanicsburg, PA 17050
Phone (717) 790-9920

6560 Carlisle Pike
Ste 425
Mechanicsburg, PA 17050
Phone (717) 506-5711

2030 Thistle Hill Dr
Ste 204
Spring Grove, PA 17362
Phone (717) 796-1650

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1154095867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "48 MDG/RAF LAKENHEATH",
            "address_2": "UNIT 5115",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615210",
            "telephone_number": "314-226-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "48 MDG/RAF LAKENHEATH",
            "address_2": "UNIT 5115",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615210",
            "telephone_number": "314-226-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.