Kimberly Gada, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21455 Issued in MA

Practice address

49 Pearl St
Brockton, MA 02301-2817

Phone

(508) 580-9995

NPI assigned

Dec 11, 2014

Last updated

Jan 15, 2020By 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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LC Holbrook IncGroup PAC ID 6901903574, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• LC Holbrook, Inc.

  dba National Physical Therapy

  • Physical Therapist
  • Holbrook, MA
  • NPI 1922129642
  Medicare reassignment Care Compare group NPD
• National Physical Therapy, Inc.

  dba National Physical Therapy

  • Physical Therapy Clinic/Center
  • Fall River, MA
  • NPI 1043316763
  Medicare reassignment NPD

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1902204605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012817",
            "telephone_number": "508-580-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADA",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Furtado
• Jennifer Fusco, APRN, FNP-BC
• Bassel Ahmed Kotb Gaballah
• Fidelito Gabriel, DMD
• Linda Gabruk
• Rakshith Gadam, MD
• Raj A. Gadhia, M.D.
• Andrey Gagarin, M.D.
• Jaclyn A Galavotti
• Amanda Meister Gale, PA-C

• Physical Therapist in Brockton, MA
• Providers in Brockton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.