Active NPI
Lilibeth C Gaminde, PT, WCC
- Physical Therapist
- Madison, IN
National Provider Identifier
1710216072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009220A
- Practice address
- 950 Cross Ave
Madison, IN 47250-2002 - Phone
- (812) 273-4640
- NPI assigned
- Dec 16, 2009
- 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 Therapist | 225100000X | 05009220A | IN | Primary |
Addresses
Primary practice location
950 Cross Ave
Madison, IN 47250-2002
Mailing address
950 Cross Ave
Madison, IN 47250-2002
Phone (812) 273-4640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2307 Turnberry Dr
Jeffersonville, IN 47130-5094
Phone (855) 465-7626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holsman Physical Therapy & Rehab of Ind LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1710216072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 CROSS AVE",
"city": "MADISON",
"state": "IN",
"postal_code": "472502002",
"telephone_number": "812-273-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CROSS AVE",
"city": "MADISON",
"state": "IN",
"postal_code": "472502002",
"telephone_number": "812-273-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMINDE",
"first_name": "LILIBETH",
"middle_name": "C",
"credential": "PT, WCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009220A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.