Individual provider Active NPI

Gina Ann Fopiano, PT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1114666013
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61309558 Issued in WA
Practice address
2710 E 57TH Ave
Spokane, WA 99223-6678
Phone
(509) 252-2354
Fax
(509) 252-2357
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 PT61309558 WA Primary
Physical Therapist 225100000X WA

Addresses

Primary practice location

2710 E 57TH Ave
Spokane, WA 99223-6678

Mailing address

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002210 WA Practitioner - Physical Therapist in Private Practice 7113306242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Orthopaedic Specialists PS 83 clinicians

Practice addresses (Care Compare)

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61309558WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists PS CurrentSince Jun 8, 2022 Accepting new patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Jun 8, 2022 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

9310 N Division St
Spokane, WA 99218
Phone (509) 789-2836

2710 E 57th Ave
Spokane, WA 99223
Phone (509) 252-2354

Interoperability endpoints

  • Direct secure messaging: gina.fopiano.1@16598.direct.athenahealth.com

Organizations & group practices 8

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1114666013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236678",
            "telephone_number": "509-252-2354",
            "fax_number": "509-252-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E 57TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236678",
            "telephone_number": "509-252-2354",
            "fax_number": "509-252-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOPIANO",
        "first_name": "GINA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61309558",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.