Kathy Gammon, RPT,P.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT560 Issued in ID

Practice address

555 W 25TH St
Idaho Falls, ID 83402-4527

Phone

(208) 524-1550

Fax

(208) 523-3148

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Development Workshop, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Rexburg, ID
  • NPI 1033231170
  NPD (past)
• Development Workshop, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Idaho Falls, ID
  • NPI 1104948322
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285858092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024527",
            "telephone_number": "208-524-1550",
            "fax_number": "208-523-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024527",
            "telephone_number": "208-524-1550",
            "fax_number": "208-523-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "RPT,P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "PT560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Furman, LCSW, PHD
• Vernon O Gaffner, D.M.D.
• Marianne Graf Galbraith, PA-C
• Shana Galbraith, LPC
• Melissa Gallant, RN
• Stanford Benjamin Gammon, P.A.
• Alexsys Garcia
• George M Garcia, MD
• Kenisha Garcia, LMSW
• Aaron Howard Gardner, M.D.

• Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.