Active NPI
Jessica Jane Gadberry, DPT
- Physical Therapist
- Somerset, KY
National Provider Identifier
1477167302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TP2020043
- Practice address
- 175 Medpark Dr
Somerset, KY 42503-2734 - Phone
- (606) 679-1761
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TP2020043 | KY | Primary |
Addresses
Primary practice location
175 Medpark Dr
Somerset, KY 42503-2734
Mailing address
1183 S Hwy 837
Nancy, KY 42544
Phone (606) 875-0058
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
| License | State | Type | Specialty |
|---|---|---|---|
| TP2020043 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1477167302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 S HWY 837",
"city": "NANCY",
"state": "KY",
"postal_code": "42544",
"telephone_number": "606-875-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MEDPARK DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032734",
"telephone_number": "606-679-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADBERRY",
"first_name": "JESSICA",
"middle_name": "JANE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "TP2020043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.