Kristen Gauck

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024823-1 Issued in NY

Practice address

1000 Elmwood Ave Ste 100
Rochester, NY 14620-3093

Phone

(585) 271-0761

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1760514970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203093",
            "telephone_number": "585-271-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUCK",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-12-02",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "024823",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024823-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marycariola.org",
            "affiliation": "N",
            "address_1": "1000 Elmwood Ave Ste 100",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146203093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Marycariola.org",
            "affiliation": "N",
            "address_1": "1000 Elmwood Ave Ste 100",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146203093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gates Volunteer Ambulance Service, Inc.
• Collin Michael Gates
• Susie Mae Gatewood
• Kellie Lynn Gatson, MSW
• Julianna Gatto, PT, DPT
• Marc Gaudette, PH D
• Patricia A Gaudieri, PH.D.
• Sean Patrick Gaughran, PHD
• Kelli Ann Gaul-Muller, MD, PHD
• Karin Gaul, FNP

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.