Individual provider Active NPI

Gina Nicole Phillips, PT, DPT

  • Orthopedic Physical Therapist
  • Wasilla, AK
National Provider Identifier
1164940722
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT017072 Issued in OH
Practice address
3750 E Country Field Cir
Wasilla, AK 99654-6659
Phone
(907) 376-7334
NPI assigned
Sep 5, 2017
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT017072 OH Primary

Addresses

Primary practice location

3750 E Country Field Cir
Wasilla, AK 99654-6659

Mailing address

3750 E Country Field Cir
Wasilla, AK 99654-6659
Phone (907) 376-7334

Other names 1

  • Dr. Gina Nicole Dobell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630001154 AK Practitioner - Physical Therapist in Private Practice 6800160110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Quest Therapy IncGroup PAC ID 5597744037, 10 clinicians

Practice addresses (Care Compare)

650 N Shoreline Dr
Wasilla, AK 99654-6677
Phone (907) 376-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wasilla Physical Therapy Inc. CurrentSince Feb 26, 2021 Accepting new patients
Out Patient at Home Physical Therapy LLC CurrentSince Aug 22, 2023 Accepting new patients
Health Quest Therapy, Inc. Orthopedic CurrentSince May 1, 2024 Accepting new patients
Altair Chiropractic, LLC PastSince Feb 21, 2022 Accepting new patients

Locations

4015 Lake Otis Pkwy
Ste 200
Anchorage, AK 99508
Phone (907) 563-8318

11432 Business Blvd
Ste 18
Eagle River, AK 99577
Phone (907) 376-6363

3750 E Country Field Cir
Ste A
Wasilla, AK 99654
Phone (907) 376-3774

650 N Shoreline Dr
Wasilla, AK 99654
Phone (907) 376-6363

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Organizations & group practices 4

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1164940722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 E COUNTRY FIELD CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546659",
            "telephone_number": "907-376-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 E COUNTRY FIELD CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546659",
            "telephone_number": "907-376-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT017072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "DOBELL",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.