Individual provider Active NPI

Barbara Ann Gabut, PTA

  • Specialist
  • Coppell, TX
National Provider Identifier
1821299231
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTA 7963A Issued in AZ
Practice address
8840 Cypress Waters Blvd
Coppell, TX 75019-4594
Phone
(800) 788-4815
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTA 00738 IA
Specialist 174400000X PTA 8459 OR
Specialist 174400000X PTA 7963A AZ Primary
Specialist 174400000X PTA A-0446 NV
Specialist 174400000X PTA 2070020 TX

Addresses

Primary practice location

8840 Cypress Waters Blvd
Coppell, TX 75019-4594

Mailing address

3324 Dune Dr
Lake Havasu City, AZ 86404-1512
Phone (509) 628-7209

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

LicenseStateTypeSpecialty
PTA 7963AAZMDSpecialist
PTA 00738IAMDSpecialist
PTA A-0446NVMDSpecialist
PTA 8459ORMDSpecialist
PTA 2070020TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1821299231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 DUNE DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864041512",
            "telephone_number": "509-628-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194594",
            "telephone_number": "800-788-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABUT",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "PTA 00738",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "PTA 8459",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "PTA 7963A",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "PTA  A-0446",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "PTA 2070020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.