Individual provider Active NPI

Gabrielle Nicole Veldman, DPT, PT

  • Physical Therapist
  • Wilmington, OH
National Provider Identifier
1003486481
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020321 Issued in OH
Practice address
720 Elm St Ste C
Wilmington, OH 45177-2878
Phone
(937) 283-2186
Fax
(937) 283-2187
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05014304A IN
Physical Therapist 225100000X PT020321 OH Primary

Addresses

Primary practice location

720 Elm St Ste C
Wilmington, OH 45177-2878

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

201 Pennsylvania Pkwy Ste 100
Carmel, IN 46280-1393
Phone (317) 817-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426003145 OH Practitioner - Physical Therapist in Private Practice 8921402454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Indiana University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy LLCGroup PAC ID 9739323460, 19 clinicians
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

720 Elm St
Suite C
Wilmington, OH 45177-2476
Phone (937) 283-2186

720 Elm St
Suite C
Wilmington, OH 45177-2878
Phone (937) 283-2186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05014304AINMDPhysical Therapist
PT020321OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Mar 15, 2023 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Mar 15, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Apr 1, 2023 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Mar 15, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

5050 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 376-9571

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1003486481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ELM ST STE C",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772878",
            "telephone_number": "937-283-2186",
            "fax_number": "937-283-2187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Pennsylvania Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462801393",
            "country_code": "US",
            "telephone_number": "317-817-1200",
            "fax_number": "317-817-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELDMAN",
        "first_name": "GABRIELLE",
        "middle_name": "NICOLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014304A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.