Individual provider Active NPI

Gabrielle Elchaar, DPT

  • Physical Therapist
  • Gulfport, FL
National Provider Identifier
1396394532
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35068 Issued in FL
Practice address
1414 59TH St S
Gulfport, FL 33707-3352
Phone
(484) 896-8260
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT35068 FL Primary

Addresses

Primary practice location

1414 59TH St S
Gulfport, FL 33707-3352

Mailing address

8074 27TH Ave N
Saint Petersburg, FL 33710-2865
Phone (484) 896-8260

Other practice location 1

685 River Ave
Lakewood, NJ 08701-5288
Phone (732) 534-8635

Other practice location 2

781 Public Rd
Bethlehem, PA 18015-3954
Phone (484) 896-8260

Other practice location 3

7101 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33702-5819
Phone (727) 527-7231

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35068FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1396394532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8074 27TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337102865",
            "telephone_number": "484-896-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 59TH ST S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073352",
            "telephone_number": "484-896-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 River Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015288",
            "country_code": "US",
            "telephone_number": "732-534-8635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "781 Public Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180153954",
            "country_code": "US",
            "telephone_number": "484-896-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Dr Martin Luther King Jr St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337025819",
            "country_code": "US",
            "telephone_number": "727-527-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELCHAAR",
        "first_name": "GABRIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.