Asean Gaddie

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2026002633 Issued in MO

Practice address

4115 S Providence Rd Ste 101
Columbia, MO 65203-7113

Phone

(573) 442-8877

NPI assigned

Sep 30, 2025

Last updated

Jul 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimus: the Center for Performance LLC

  • Physical Therapy Clinic/Center
  • Columbia, MO
  • NPI 1427979681
  NPD (past)

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1518831940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 TREETOP LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 S PROVIDENCE RD STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037113",
            "telephone_number": "573-442-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIE",
        "first_name": "ASEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2026002633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Hamdy Mohamed Gaballah, M.D.
• Mohanad Gabani, MD
• Adam Wesley Gadbois, DDS
• Anthony Michael Gadbois, DDS
• Mary V Gadbois, DDS
• Jeffrey Gaffney, DDS
• Robert W Gaines Jr., M.D.
• Stephen Lee Gaines, PA-C
• Taylor Elizabeth Gaines
• Barry J Gainor, MD

• Physical Therapy Assistant in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.