MRS. JACQUELINE B. GAMBINO (NPI# 1609818376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609818376 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE B. GAMBINO |
| Credential | PT |
| Practice Address |
11 Kilburn St The Body Center Burlington VT 05401-4750 |
| Practice Telephone | 8028659500 |
| Practice Fax Number | 8028659559 |
| Mailing Telephone | 8028659500 |
| Mailing Fax Number | 8028659559 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | CIGNA | 7792624 | 01 |
| VT | MVP | 375545 | 01 |
| VT | TVHP/BC BS | 48377 | 01 |
| VT | 1007598 | 05 | |
| VT | FLETCHER ALLEN PREFERRED | 4693301 | 01 |
| Street Address |
11 KILBURN ST THE BODY CENTER |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023262425 | Jacqueline Mood Bolster | Physical Therapist | 11 Kilburn St, Burlington, VT 05401-8705 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| 1407142029 | Kevin Michael Duniho | Physical Therapist | 31 N Prospect St, Burlington, VT 05401-3339 | 2011-06-22 |
| 1811955081 | Appletree Bay Physical Therapy, Inc | Physical Therapist | 1205 North Ave, Burlington, VT 05408-2751 | 2006-05-03 |
| 1689955890 | Vermont Pain Relief, LLC | Physical Therapist | 31 N Prospect St, Burlington, VT 05401-3339 | 2011-09-01 |
| 1932432341 | Andrea L. Trombley | Physical Therapist | 20 Kilburn St, Burlington, VT 05401-4720 | 2009-09-16 |
| 1760612394 | Patricia E Tyler | Physical Therapist | 20 Kilburn St, Ste 120, Burlington, VT 05401-4720 | 2009-07-16 |
| 1235320144 | Meghan Gibbo | Physical Therapist | 1205 North Ave, Burlington, VT 05408-2751 | 2007-08-06 |
| 1689705139 | Green Mountain Rehabilitation & Sports Medicine LLC | Physical Therapist | 90 Main St, Burlington, VT 05401-8419 | 2007-03-08 |
| 1689713406 | Janet L Carscadden | Physical Therapist | 20 Kilburn St, Burlington, VT 05401-4720 | 2007-02-06 |
| 1790822807 | Evolution Physical Therapy and Yoga Studio Inc. | Physical Therapist | 20 Kilburn St, Suite #120, Burlington, VT 05401-4720 | 2007-01-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on MRS. JACQUELINE B. GAMBINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.