Active NPI
Gary W Gardiner, ATC
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Bethlehem, PA
National Provider Identifier
1972533461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- RT000828B
- Practice address
- 3101 Emrick Blvd
Suite 112
Bethlehem, PA 18020 - Phone
- (610) 997-5756
- Fax
- (610) 997-5762
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | RT000828B | PA | Primary |
Addresses
Primary practice location
3101 Emrick Blvd
Suite 112
Bethlehem, PA 18020
Mailing address
3101 Emrick Blvd
Suite 112
Bethlehem, PA 18020
Phone (610) 997-5756
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT000828B | PA | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972533461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 EMRICK BLVD",
"address_2": "SUITE 112",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "610-997-5756",
"fax_number": "610-997-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 EMRICK BLVD",
"address_2": "SUITE 112",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18020",
"telephone_number": "610-997-5756",
"fax_number": "610-997-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "GARY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "PA",
"license": "RT000828B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.