Organization Active NPI

Gina's Physical Therapy, Inc

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1023298437
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12992 Issued in FL
Legal business name
GINA'S PHYSICAL THERAPY, INC
Practice address
4287 SE Federal Hwy
Stuart, FL 34997-4936
Phone
(772) 223-3440
Fax
(772) 221-3373
NPI assigned
Nov 14, 2007
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mrs. Regina Marie Ricci, PT
Title
Ceo
Phone
(772) 223-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT12992 FL Primary

Addresses

Primary practice location

4287 SE Federal Hwy
Stuart, FL 34997-4936

Mailing address

4287 SE Federal Hwy
Stuart, FL 34997-4936
Phone (772) 223-3440

Other names 1

  • Gina Reuillon Physical Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130130000184 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698822740 Receives reassigned benefits from 5 practitioners
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

3213 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-1528

702 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 225-8908

435 NW Prima Vista Blvd
Port Saint Lucie, FL 34983
Phone (772) 359-6568

8423 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 337-3141

1609 NW Federal Hwy
Stuart, FL 34994
Phone (772) 225-8908

3610 SE Federal Hwy
Ste 5
Stuart, FL 34997
Phone (772) 223-3440

4287 SE Federal Hwy
Stuart, FL 34997
Phone (772) 223-3440

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1023298437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974936",
            "telephone_number": "772-223-3440",
            "fax_number": "772-221-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974936",
            "telephone_number": "772-223-3440",
            "fax_number": "772-221-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA'S PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-223-3440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gina Reuillon Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.