Gary C Kimball (NPI# 1033102199, PAC ID# 1557332475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1033102199 |
| PAC ID by PECOS | 1557332475 |
| Professional Enrollment ID | I20040804000717 |
| Full Name | Gary C Kimball |
| Organization Legal Name | SOUTH SHORE SPORTS AND MUSCULAR |
| Address |
300 Congress St Quincy MA 02169-0907 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5092606764 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Congress St, Quincy, MA 02169-0907 | SOUTH SHORE SPORTS AND MUSCULAR |
| Organization Legal Name | SOUTH SHORE SPORTS AND MUSCULAR |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis E Schoen | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Stephen A Gulczynski | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Neil T Mcdermott | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Rebecca C Smith | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Suite 204, Quincy, MA 02169-0907 |
| Nancy S Demattia | Physical Therapy | South Shore Sports and Muscular | 90 Libbey Industrial Pkwy, Suite 103, East Weymouth, MA 02189-3178 |
| Street Address |
300 CONGRESS ST |
| City | QUINCY |
| State | MA |
| Zip | 02169-0907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen G Werth | Dermatology | Associates of South Shore Dermatology LLC | 300 Congress St, Suite 408, Quincy, MA 02169-0907 |
| H David Tabaie | Optometry | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Xiang Q. Werdich | Ophthalmology | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Travis E Schoen | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Yan Tan | Internal Medicine | 300 Congress St, Suite 203, Quincy, MA 02169-0907 | |
| Zachary M Homa | Obstetrics/gynecology | Crown Obstetrics and Gynecology PC | 300 Congress St, Suite 102, Quincy, MA 02169-0907 |
| Lily Ng | Optometry | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Helen Rego Moreira | Ophthalmology | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Stephen A Gulczynski | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Elizabeth A Drumm | Obstetrics/gynecology | Crown Obstetrics and Gynecology PC | 300 Congress St, Suite 102, Quincy, MA 02169-0907 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hannon Baron | Certified Nurse Midwife | South Shore Ob-gyn Hanover Ob-gyn Inc. | 21 Mayor Mcgrath Hwy, Quincy, MA 02169 |
| Camden Marcotte | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Cynthia Wisted | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Kaylee Lecavalier | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Samuel Kushner | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Donna Chiao | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Kellie Fokin | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Matthew Haley | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Zachary Wagner | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Richard V Mazzaferro | Physical Medicine and Rehabilitation | 300 Congress St, Suite 304, Quincy, MA 02169-0907 | |
| Find all physicians in zip 02169 | |||
| City | QUINCY |
| Zip Code | 02169 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | QUINCY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Gary C Kimball.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.