Individual provider Active NPI

Judith Lynne Gimble, PT

  • Physical Therapist
  • Slippery Rock, PA
National Provider Identifier
1376587949
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005918L Issued in PA
Practice address
563 Kelly Blvd
Slippery Rock, PA 16057-1155
Phone
(724) 794-1039
Fax
(724) 794-5936
NPI assigned
Jun 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT005918L PA Primary

Addresses

Primary practice location

563 Kelly Blvd
Slippery Rock, PA 16057-1155

Mailing address

633 Unionville Rd
Butler, PA 16001-8562
Phone (724) 865-2087

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
PT005918LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems Inc PastSince Dec 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376587949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 UNIONVILLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160018562",
            "telephone_number": "724-865-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 KELLY BLVD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571155",
            "telephone_number": "724-794-1039",
            "fax_number": "724-794-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBLE",
        "first_name": "JUDITH",
        "middle_name": "LYNNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005918L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slippery Rock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.