Gates Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GATES PHYSICAL THERAPY, LLC

Practice address

1001 S Shannon Ave
Indialantic, FL 32903-3334

Phone

(352) 514-2167

Fax

(321) 234-7910

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Renee Gates, PT, DPTNPI 1104147958

Title

Owner

Phone

(352) 514-2167

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Renee Gates, DPT

  • Physical Therapist
  • Indialantic, FL
  • NPI 1104147958
  NPD Authorized official

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1841950680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S SHANNON AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033334",
            "telephone_number": "352-514-2167",
            "fax_number": "321-234-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S SHANNON AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033334",
            "telephone_number": "352-514-2167",
            "fax_number": "321-234-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-514-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Rachelle Fox, DDS
• Jean Marie C Fuller, PT, DPT
• Patrick Shepard Fuller, PT, DPT
• Kimberly Ann Beck Gallaher, P.T.
• Candice Gallion, DOM
• Pamela Renee Gates, DPT
• Jazmine M Gaudet
• Nikolaos Georgios Gavrilis, DDS
• Ashton Gelzinis
• Generations on the Beach

• Physical Therapist in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.