Gabrielle Lynn Pulliam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014594A Issued in IN

Practice address

325 E Lewis and Clark Pkwy
Clarksville, IN 47129-1725

Phone

(812) 283-3231

Fax

(812) 283-3271

NPI assigned

Apr 13, 2016

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvest Health and Rehab LLCGroup PAC ID 9335427798, 21 clinicians

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Harvest Health & Rehab LLC

  • Speech-Language Pathologist
  • Loogootee, IN
  • NPI 1659828218

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Clarksville, IN
  • NPI 1295208684
  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1851864169
  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Sellersburg, IN
  • NPI 1013558394
  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • New Albany, IN
  • NPI 1366915761

  Physical Therapist

  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Georgetown, IN
  • NPI 1396218798
  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Corydon, IN
  • NPI 1487127882
  NPD (past)
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Charlestown, IN
  • NPI 1891360541
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1174987366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291725",
            "telephone_number": "812-283-3231",
            "fax_number": "812-283-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E LEWIS AND CLARK PKWY",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471291725",
            "telephone_number": "812-283-3231",
            "fax_number": "812-283-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Village Loop Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "59901",
            "country_code": "US",
            "telephone_number": "406-756-7878",
            "fax_number": "406-257-7811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Main Street NE",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "country_code": "US",
            "telephone_number": "505-866-1677 x3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "GABRIELLE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4773",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-17045",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014594A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna B Pretila, M.D.
• Kaitlyn Price, BCBA
• Heather L Proffitt, PHARM.D.
• Prorehab Louisville, LLC
• Megan Elizabeth Psiones, MD
• Mark Pulliam, OD
• Pulmonary & Critical Care Consultants of Louisville
• Caitlin Michelle Rager, APRN
• Rukhsana Ikram Rahman, MD
• Tresa V Ratterman, M.D.

• Physical Therapist in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.