Joseph Matthew Gager
Organization Active NPI Physical Therapist · Benton, TN
NPI 1548039704 · NPPES record last updated Dec 28, 2023
Key facts
- NPI
- 1548039704
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- JOSEPH MATTHEW GAGER
- Practice address
- 217 Ward St
Benton, TN 37307-3054 - Phone
- (423) 310-1642
- NPI assigned
- Dec 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Joseph Gager, PT
- Title
- Owner
- Phone
- (423) 310-1642
Practitioners 3
-
Joseph Matthew Gager, P.T.
-
Kimberli Booth, MT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240430003578 | TN | Part B Supplier - Clinic/Group Practice | 9931549573 |
Receives reassigned benefits from 2 practitioners Practice locations: Benton, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
217 Ward St
Benton, TN 37307-3054
Mailing address
217 Ward St
Benton, TN 37307-3054
Other providers in Benton, TN
- Benjamin Geyman
- Jonathan R Gosselin
- Daphne Hargis
- Colt Holliman
- Pamela P Jones-Singleton
- Ked Consulting, LLC
- Andy Kim
- Victoria L Kinsey
- Aleksander Ivanovich Malakhov
- Laurel Martin
All providers in Benton, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.