Active NPI
Gerard Gardetto
- Physical Therapist
- Leominster, MA
National Provider Identifier
1235463571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6080
- Practice address
- 54 Daley St
Leominster, MA 01453-2535 - Phone
- (978) 840-7407
- NPI assigned
- Sep 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6080 | MA | Primary |
Addresses
Primary practice location
54 Daley St
Leominster, MA 01453-2535
Mailing address
54 Daley St
Leominster, MA 01453-2535
Phone (978) 840-7407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6080 | MA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1235463571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 DALEY ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532535",
"telephone_number": "978-840-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 DALEY ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532535",
"telephone_number": "978-840-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDETTO",
"first_name": "GERARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.