Kristal Jean Gade, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3664 Issued in TN

Practice address

260407 Sea Gull Rd
Scottsbluff, NE 69361-6933

Phone

(402) 709-7467

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1881859866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260407 SEA GULL RD",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693616933",
            "telephone_number": "402-709-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260407 SEA GULL RD",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693616933",
            "telephone_number": "402-709-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADE",
        "first_name": "KRISTAL",
        "middle_name": "JEAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3664",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20612",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Renee Fuqua
• Elizabeth Josalynn Fuss
• Erica Elizabeth Fuss
• Trinity J Fuss, PA-C
• Melvin Donald Gabel
• Alicia Galindo
• Ramona Isaac Galindo
• Rita Galindo
• Josefa Gallegos
• Abrielle S Galvan

• Physical Therapy Assistant in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.