Active NPI
Kamilla Gamidova
- Physical Therapy Assistant
- Hampden, MA
National Provider Identifier
1558733964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 344400
- Practice address
- 19 Sessions Dr
Hampden, MA 01036-9722 - Phone
- (413) 657-4580
- NPI assigned
- Oct 25, 2015
- Last updated
- Oct 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 344400 | MA | Primary |
Addresses
Primary practice location
19 Sessions Dr
Hampden, MA 01036-9722
Mailing address
19 Sessions Dr
Hampden, MA 01036-9722
Phone (413) 657-4580
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344400 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445731200000",
"number": "1558733964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SESSIONS DR",
"city": "HAMPDEN",
"state": "MA",
"postal_code": "010369722",
"telephone_number": "413-657-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SESSIONS DR",
"city": "HAMPDEN",
"state": "MA",
"postal_code": "010369722",
"telephone_number": "413-657-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMIDOVA",
"first_name": "KAMILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-25",
"last_updated": "2015-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "344400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampden, MA
- Joseph P Costanzo, EDD
- D. Lawrence Counseling, LLC
- Jessica Lee Dagenais, LMHC
- Cynthia L Forte, RN,LMT
- Cynthia M Galavotti, D.P.M.
- Valerie Gonzalez
- Hampden Health and Rehabilitation Center LLC (Pine Mountain Rehabilitation and Nursing Center)
- Judy Hatch, R.N., M.S.N, IBCLC
- John Raleigh Hennessy, DDS
- Integrative Bodyworks Physical Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.