MRS. KIM L GATES (PT) – Physical Therapist, NPI 1013006279

MRS. KIM L GATES (PT) is a healthcare provider. based in Stone mountain, Georgia. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT001641 (GA). The NPI Number for MRS. KIM L GATES (PT) is 1013006279

Main info

Female
Name
MRS. KIM L GATES (PT)
NPI
1013006279
Phone
(770) 465-5084
Address
2155 W PARK CT
Enumeration Date
12 October 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KIM L GATES (PT)

  • 2155 W PARK CT

    SUITE G/ H

    STONE MOUNTAIN, GA 300873500

    Phone: (770) 465-5084

    Fax: (770) 465-5304

    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: 2004-06-16

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
I20040616000183IPhysical Therapist In Private PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30087)

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Reviews

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Frequently asked questions

Can I verify MRS. KIM L GATES (PT) with an NPI only?
You can start verification with NPI 1013006279 for MRS. KIM L GATES (PT), then check state licensing separately.
Is MRS. KIM L GATES (PT) listed as active for patients and plans?
The listing shows MRS. KIM L GATES (PT) as active in the NPI system.
What healthcare role does MRS. KIM L GATES (PT) hold?
Scheduling teams often label MRS. KIM L GATES (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. KIM L GATES (PT)?
MRS. KIM L GATES (PT)'s geographic hint is Stone Mountain, Georgia in our summary view.
Why does MRS. KIM L GATES (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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