Gabriel C Edaugal, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000004252 Issued in TN

Practice address

101 Gill St
Alcoa, TN 37701

Phone

(865) 806-1935

Fax

(865) 980-0031

NPI assigned

Nov 21, 2006

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)

Enrolled

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.

• Tennessee Therapeutics, Inc.

  • Physical Therapy Clinic/Center
  • Maynardville, TN
  • NPI 1659365757
  NPD (past)
• Volunteer Healthcare Services, Inc.

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1093848442
  NPD (past)
• Volunteer Healthcare Services, Inc.

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1760428296
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190505600000",
    "number": "1366517070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9519 SHADOW LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228812",
            "telephone_number": "865-806-1935",
            "fax_number": "865-980-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GILL ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "37701",
            "telephone_number": "865-806-1935",
            "fax_number": "865-980-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDAUGAL",
        "first_name": "GABRIEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000004252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Duarte, MD
• East Tennessee Children'S Primary Care Center, Inc.
• East Tennessee Dermatology Group, PC
• East Tennessee Medical Group, PC
• East Tennessee Wellness Partners PLLC
• Suzanne P Elder Bond, PT
• Emily Elliott
• Judith Belinda Ellis, PHARMACIST
• Lori Jill Elmore, MSN, CPNP-PC
• Courtney Michelle Elrod, BSW

• Physical Therapist in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.