Joseph Gaouette, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19658 Issued in NC

Practice address

Comprehab, LLC
2675 Court Drive
Gastonia, NC 28054-1478

Phone

(704) 824-7800

Fax

(704) 824-2822

NPI assigned

Aug 11, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Center,LLC

  dba Ambassador Physical Therapy

  • Physical Therapist
  • Monroe, NC
  • NPI 1053545988
  NPD
• Physical Therapy Center Two, LLC

  dba Physical Therapy Center, LLC

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1861934010
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1245841584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DICKERSON BLVD STE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102884",
            "telephone_number": "704-283-6700",
            "fax_number": "704-283-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPREHAB, LLC",
            "address_2": "2675 COURT DRIVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Dickerson Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281102884",
            "country_code": "US",
            "telephone_number": "704-283-6700 x202",
            "fax_number": "704-283-6713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Waxhaw Professional Park Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281735018",
            "country_code": "US",
            "telephone_number": "704-843-7000",
            "fax_number": "704-849-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAOUETTE",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.