Individual provider Active NPI

Stephen Leon Gabbard, DPT

  • Physical Therapy Clinic/Center
  • Somerset, KY
National Provider Identifier
1215728357
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
006121 Issued in KY
Practice address
100 Neighborly Way
Somerset, KY 42503-6147
Phone
(606) 679-9245
NPI assigned
May 16, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 006121 KY Primary

Addresses

Primary practice location

100 Neighborly Way
Somerset, KY 42503-6147

Mailing address

600 1/2 Clifty St Ste 2&3
Somerset, KY 42503-1733
Phone (606) 679-9245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728003609 KY Practitioner - Physical Therapist in Private Practice 8426565144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Physical Therapy Services of Somerset, LLCGroup PAC ID 0840706248, 2 clinicians

Practice addresses (Care Compare)

100 Neighborly Way
Somerset, KY 42503-6147
Phone (606) 219-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006121KYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Physical Therapy Services of Somerset, LLC CurrentSince May 3, 2025 Accepting new patients
Lifeline Home Health Care of Somerset, LLC PastSince May 18, 2025 Accepting new patients

Organizations & group practices 2

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1215728357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1/2 CLIFTY ST STE 2&3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031733",
            "telephone_number": "606-679-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEIGHBORLY WAY",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036147",
            "telephone_number": "606-679-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "STEPHEN",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "006121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.