KIMBERLY GADA (PT) – Physical Therapist, NPI 1902204605

KIMBERLY GADA (PT) is a healthcare provider. based in Brockton, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 21455 (MA). The NPI Number for KIMBERLY GADA (PT) is 1902204605

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY GADA (PT)
NPI
1902204605
Phone
Not provided
Address
49 PEARL ST
Enumeration Date
11 December 2014
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085809995
Graduation Year
2014 (12 years ago)
PAC ID
6204150022
Group Practice PAC ID
6901903574
Professional Enrollment ID
I20150126001707
Address ID
MA023012817BR49XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for KIMBERLY GADA (PT)

  • 49 PEARL ST

    BROCKTON, MA 023012817

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150126001707IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes63132$0
97113Therapy procedure using water pool to exercises, each 15 minutes22815$0
97162Evaluation for physical therapy, typically 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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Provider's Procedures

KIMBERLY GADA (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes71744
PHYSICAL THERAPYMA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes5312

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901903574View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY GADA (PT)?
NPI 1902204605 is assigned to KIMBERLY GADA (PT) under the national enumeration system.
Is KIMBERLY GADA (PT) active in the national directory?
KIMBERLY GADA (PT)'s public NPI profile is in an active state.
What field does KIMBERLY GADA (PT) work in?
You can think of KIMBERLY GADA (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place KIMBERLY GADA (PT)?
The snapshot lists Brockton, Massachusetts for KIMBERLY GADA (PT); download NPPES for the complete set.
Is KIMBERLY GADA (PT) a real provider?
This page reflects official NPPES data for NPI 1902204605. Always confirm identity and privileges with the practice and licensing boards.

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