Individual provider Active NPI

Richard B Gaudio, PT, GCS

  • Geriatric Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1376540062
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
2305006617 Issued in VA
Practice address
85 Delmar LN
Fredericksburg, VA 22406-4745
Phone
(540) 273-8000
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 2305006617 VA Primary

Addresses

Primary practice location

85 Delmar LN
Fredericksburg, VA 22406-4745

Mailing address

85 Delmar LN
Fredericksburg, VA 22406-4745
Phone (540) 273-8000

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
2305006617VAMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1376540062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DELMAR LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224064745",
            "telephone_number": "540-273-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DELMAR LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224064745",
            "telephone_number": "540-273-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT, GCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305006617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.