Gateway Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8527AZ Issued in AZ

Legal business name

GATEWAY PHYSICAL THERAPY LLC

Practice address

4566 E Inverness Ave
Suite 103
Mesa, AZ 85206-4633

Phone

(480) 813-9191

Fax

(480) 813-0025

NPI assigned

Oct 9, 2013

Last updated

Oct 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Kempton, PT, DPTNPI 1568790616

Title

Owner

Phone

(480) 813-9191

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven E Kempton, PT

  • Physical Therapist
  • Show Low, AZ
  • NPI 1568790616
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey W Gardner, PT, DPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1366775835
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1346677242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-813-9191",
            "fax_number": "480-813-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064633",
            "telephone_number": "480-813-9191",
            "fax_number": "480-813-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "KEMPTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-813-9191",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "305R00000X",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "305R00000X",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8527AZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Ryan Gates, MC, LPC
• Kimberly R Gates, AUD.
• Lamesha M Gates
• Gateway Addictionology Services, PLLC (Gateway Recovery Institute)
• Gateway Anesthesia and Pain Associates PLLC
• Gateway Smiles, LLP (Gateway Smiles)
• Gateway Wellness Center, LLC
• Virginia Waithira Gatundu, LPC
• Whitney Gauna
• Darrell Gautt

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.