Individual provider Active NPI

Tamera S Gebo-Wilber, PHYSICAL THERAPIST

  • Physical Therapist
  • Great Barrington, MA
National Provider Identifier
1285051938
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6718 Issued in MA
Practice address
444 Stockbridge Road
Great Barrington, MA 01230
Phone
(412) 528-8580
Fax
(413) 528-8583
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6718 MA Primary

Addresses

Primary practice location

444 Stockbridge Road
Great Barrington, MA 01230

Mailing address

P.O. Box 30
444 Stockbridge Road
Great Barrington, MA 01230-0030
Phone (412) 528-8580

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6718MAMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1285051938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "address_2": "444 STOCKBRIDGE ROAD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012300030",
            "telephone_number": "412-528-8580",
            "fax_number": "413-528-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STOCKBRIDGE ROAD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "412-528-8580",
            "fax_number": "413-528-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBO-WILBER",
        "first_name": "TAMERA",
        "middle_name": "S",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.