Individual provider Active NPI

Gabriella Marie Fusco, PT, DPT

  • Physical Therapist
  • Hockessin, DE
National Provider Identifier
1043039746
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014961 Issued in DE
Practice address
720 Yorklyn Rd
Hockessin, DE 19707-8728
Phone
(302) 234-2288
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0014961 DE Primary

Addresses

Primary practice location

720 Yorklyn Rd
Hockessin, DE 19707-8728

Mailing address

294 Chippenham LN
Hockessin, DE 19707-1933
Phone (302) 319-1452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205002850 DE Practitioner - Physical Therapist in Private Practice 0840726428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy, IncGroup PAC ID 2860589306, 16 clinicians

Practice addresses (Care Compare)

720 Yorklyn Rd
Suite 150
Hockessin, DE 19707-8729
Phone (302) 234-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014961DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy, Inc Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients

Locations

720 Yorklyn Rd
Ste 150
Hockessin, DE 19707
Phone (302) 234-2288

Organizations & group practices 1

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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1043039746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 CHIPPENHAM LN",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071933",
            "telephone_number": "302-319-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078728",
            "telephone_number": "302-234-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "GABRIELLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.