Gateway Therapies, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10827-024 Issued in WI

Legal business name

GATEWAY THERAPIES, LLC

Practice address

547 N 62ND St
Wauwatosa, WI 53213-4169

Phone

(414) 305-8946

NPI assigned

Apr 28, 2011

Last updated

Apr 28, 2011By 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

Sally K Korb, DPT

Title

Physical Therapist

Phone

(414) 305-8946

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1205127065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 N 62ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532134169",
            "telephone_number": "414-305-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 N 62ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532134169",
            "telephone_number": "414-305-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "KORB",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "414-305-8946",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "10827-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194991018",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Gangl
• Rory A Gaouette, MA LPC
• Susan C Garny, LCSW
• Linda Garofalo, M.A., CCC-A
• Natalie Gasser, IBCLC
• Stephanie A Gauthier, LPC-IT
• Gregg Michael Gaylord, MD
• Teresa O Geisberger, P.T
• Mitchell Hunter Geisler
• Generations Family Dental

• Physical Therapy Clinic/Center in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.