NPIMap

Organization Active NPI

Gina the PT LLC

  • Physical Therapist
  • Vail, CO
National Provider Identifier
1245336817
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GINA THE PT LLC
Practice address
5177 Black Gore Dr
Unit B1
Vail, CO 81657-5273
Phone
(970) 688-1433
NPI assigned
Sep 14, 2006
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Gina Jelacic, MPTNPI 1790794220
Title
Physical Therapist
Phone
(970) 688-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5177 Black Gore Dr
Unit B1
Vail, CO 81657-5273

Mailing address

5177 Black Gore Dr
Unit B1
Vail, CO 81657-5273

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1245336817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5177 BLACK GORE DR",
            "address_2": "UNIT B1",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5177 BLACK GORE DR",
            "address_2": "UNIT B1",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575273",
            "telephone_number": "970-688-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA THE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "JELACIC",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-688-1433",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.