Jacqueline B. Gambino, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

11 Kilburn St
The Body Center
Burlington, VT 05401-4750

Phone

(802) 865-9500

Fax

(802) 865-9559

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Dee Physical Therapy Services PLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1083773436
  NPD (past)
• Inward Glance Inc

  • Physical Therapist
  • Burlington, VT
  • NPI 1770605537
  NPD (past)
• Mindy Cohen Inc

  • Physical Therapist
  • Burlington, VT
  • NPI 1215954904
  NPD (past)
• Nash Psychological Services, LLC

  • Clinical Psychologist
  • Williston, VT
  • NPI 1578960753
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609818376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KILBURN ST",
            "address_2": "THE BODY CENTER",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014750",
            "telephone_number": "802-865-9500",
            "fax_number": "802-865-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KILBURN ST",
            "address_2": "THE BODY CENTER",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014750",
            "telephone_number": "802-865-9500",
            "fax_number": "802-865-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "JACQUELINE",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "375545",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007598",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7792624",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TVHP/BC BS",
            "identifier": "48377",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLETCHER ALLEN PREFERRED",
            "identifier": "4693301",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jared Gallagher, MD
• Kevin P Gallagher, MS, LCMHC
• Janice M Gallant, MD
• Joseph Anthony Gallucci, DNP
• Andrey Galper, MD, PHARMD
• Duncan Alexander Gamble, MS
• David S Ganapol, LICSW
• Kanika Gandhi
• Eric Kumar Ganguly, MD
• Sree Susmitha Garapati, MD

• Orthopedic Physical Therapist in Burlington, VT
• Providers in Burlington, VT by specialty
• Orthopedic Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.