Gateway Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22256 Issued in FL

Legal business name

GATEWAY PHYSICAL THERAPY, LLC

Practice address

6763 Land O Lakes Blvd
Land O Lakes, FL 34638-3234

Phone

(813) 929-8077

Fax

(813) 929-8932

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By 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

Robert MalhoitNPI 1245298314

Title

Owner

Phone

(813) 929-8077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Scott Malhoit, D.C.

  • Chiropractor
  • Land O' Lakes, FL
  • NPI 1245298314
  Medicare reassignment NPD Authorized official
• Jerica Rode

  • Physical Therapist
  • Tampa, FL
  • NPI 1740811603
  Medicare reassignment NPD
• Sharon Louise Amis, P.T.

  • Physical Therapist
  • Middlebury, IN
  • NPI 1083765499

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1225413917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6763 LAND O LAKES BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383234",
            "telephone_number": "813-929-8077",
            "fax_number": "813-929-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6763 LAND O LAKES BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383234",
            "telephone_number": "813-929-8077",
            "fax_number": "813-929-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "MALHOIT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-929-8077"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis F Garcia I
• Asia Gardner
• Jennifer T Gardner
• Susan Elizabeth Garnic-Newhall
• Michelle Lee Garrett, RN, BSN
• Gateway Wellness and Rehab LLC
• Kyla Gauthreaux
• Daniel James Gaylor, LCSW
• Kerrie Fields Geaney, ARNP
• Nicholas Ryan Gehle, PSY.D.

• Physical Therapist in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.