Gambaru Corporation

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

8818 Issued in MA

Legal business name

GAMBARU CORPORATION

Practice address

999 Broadway
Suite 100
Saugus, MA 01906-4521

Phone

(781) 558-9565

Fax

(781) 558-9567

NPI assigned

Sep 9, 2008

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dolores Ivette Kershaw, MS,OTR/L

Title

Director

Phone

(617) 899-8380

Specialties & licenses 10

Addresses

Tax ID family

Gambaru Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gambaru Corp

  • Physical Therapist
  • Saugus, MA
  • NPI 1053601393
  NPD tax ID
• Gambaru Corp

  • Speech-Language Pathologist
  • Saugus, MA
  • NPI 1881984128
  NPD tax ID

Locations

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1194974683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 BROADWAY",
            "address_2": "SUITE 100",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064521",
            "telephone_number": "781-558-9565",
            "fax_number": "781-558-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BROADWAY",
            "address_2": "SUITE 100",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064521",
            "telephone_number": "781-558-9565",
            "fax_number": "781-558-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBARU CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "KERSHAW",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-899-8380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "8818",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "MA",
            "license": "8818",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MA",
            "license": "8818",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "8818",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Marie Gaiser, DMD
• Catherine Ann Galenius, MSW, LICSW
• Michael W Gallagher, PT,DPT
• Gambaru Corp
• Gambaru Corp
• Joyce Anne Gannon, P.T.
• Caroline W Gatua, RN
• Priscilla Geha, CCC
• Angelica Brooke Elizabeth Gentile
• Germa Transportation LLC

• Pediatric Occupational Therapist in Saugus, MA
• Providers in Saugus, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.