Individual provider Active NPI

Gabrielle Dibattista, DPT

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1164365045
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02115000 Issued in NJ
Practice address
4 E Jimmie Leeds Rd Ste 10
Galloway, NJ 08205-4465
Phone
(609) 964-7901
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 40QA02115000 NJ Primary

Addresses

Primary practice location

4 E Jimmie Leeds Rd Ste 10
Galloway, NJ 08205-4465

Mailing address

4 Jonquil PL
Marlton, NJ 08053-5523
Phone (609) 969-9457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fam Rehabilitation LLCGroup PAC ID 8123472271, 8 clinicians

Practice addresses (Care Compare)

4 E Jimmie Leeds Rd
Suite 10
Galloway, NJ 08205-4465
Phone (609) 964-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02115000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fam Rehabilitation LLC Physical Therapist CurrentSince Jun 15, 2026 Accepting new patients

Locations

4 E Jimmie Leeds Rd
Ste 10
Galloway, NJ 08205
Phone (609) 752-3576

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1164365045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JONQUIL PL",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535523",
            "telephone_number": "609-969-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD STE 10",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-964-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBATTISTA",
        "first_name": "GABRIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02115000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.