Individual provider Active NPI

Gina Nasser Bebawey, DPT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1306593546
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38008 Issued in FL
Practice address
2900 N Military TRL Ste 220
Boca Raton, FL 33431-6308
Phone
(561) 923-8292
NPI assigned
Mar 8, 2022
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 PT38008 FL Primary

Addresses

Primary practice location

2900 N Military TRL Ste 220
Boca Raton, FL 33431-6308

Mailing address

10211 Hunt Club LN
Palm Beach Gardens, FL 33418-4570
Phone (561) 827-1400

Other practice location 1

10211 Hunt Club Ln
Palm Beach Gardens, FL 33418-4570
Phone (561) 827-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WebPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803002472 FL Practitioner - Physical Therapist in Private Practice 9234511551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Florida International Univ, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3350 NW 2ND Ave
Suite B22
Boca Raton, FL 33431-6678
Phone (561) 827-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38008FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Physical Therapy LLC Physical Therapist CurrentSince Oct 4, 2024 Accepting new patients

Locations

3350 NW 2nd Ave
Ste B22
Boca Raton, FL 33431
Phone (561) 827-1400

Organizations & group practices 2

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1306593546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 HUNT CLUB LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184570",
            "telephone_number": "561-827-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-923-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10211 Hunt Club Ln",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334184570",
            "country_code": "US",
            "telephone_number": "561-827-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEBAWEY",
        "first_name": "GINA",
        "middle_name": "NASSER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "2900 N Military Trl Ste 220",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334316308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.