Therese Ann Gauvain, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0008921 Issued in CO

Practice address

31383 Frost Way
Evergreen, CO 80439-2217

Phone

(303) 670-3549

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By the provider in NPPES

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 names 1

• Therese McDonough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1740624469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31383 FROST WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392217",
            "telephone_number": "303-670-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUVAIN",
        "first_name": "THERESE",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0008921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESE",
            "last_name": "MCDONOUGH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Jean Gall, RPH
• Adam Michael Garcia, L.AC
• Jacob C Garcia, BSW
• Otello Miller Garrard
• Jennifer Kathleen Gauvain, LCSW
• Lindsey Diane Geiger, MA, LMFT
• Get Moving Chiropractic Clinic, PC
• Lindsey Gilbert, MSW, SWC
• Sarah Eleanor Gillingham, MA
• Juliet Joy Glass, PMHNP

• Physical Therapist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.