Individual provider Active NPI

Joseph Matthew Gager, P.T.

  • Physical Therapist
  • Benton, TN
National Provider Identifier
1306895784
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000005914 Issued in TN
Practice address
217 Ward St
Benton, TN 37307-3054
Phone
(423) 338-8088
Fax
(423) 338-8188
NPI assigned
May 10, 2006
Reactivated
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 PT0000005914 TN Primary

Addresses

Primary practice location

217 Ward St
Benton, TN 37307-3054

Mailing address

PO Box 767
Benton, TN 37307-0767
Phone (423) 338-8088

Other identifiers 3

IdentifierTypeStateIssuer
3652560MedicaidTN
105258400OtherTNDEPT OF LABOR
4030037OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000489 TN Practitioner - Physical Therapist in Private Practice 8820054349 Reassigns benefits to 1 organization
Practice locations: Benton, TN

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph Matthew GagerGroup PAC ID 9931549573, 2 clinicians

Practice addresses (Care Compare)

217 Ward St
Benton, TN 37307-3054
Phone (423) 338-8088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000005914TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Matthew Gager Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients
Gager Therapy Services Physical Therapist Current Accepting new patients
Professional Therapy Services of Tennessee, LLC Past Accepting new patients

Locations

3525 Keith St NW
Ste M
Cleveland, TN 37312
Phone (423) 458-4114

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1306895784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373070767",
            "telephone_number": "423-338-8088",
            "fax_number": "423-338-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WARD ST",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373073054",
            "telephone_number": "423-338-8088",
            "fax_number": "423-338-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGER",
        "first_name": "JOSEPH",
        "middle_name": "MATTHEW",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "deactivation_date": "2024-01-17",
        "reactivation_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000005914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3652560",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "105258400",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4030037",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.