Active NPI
William Marshall Gabriel, D.P.T.
- Physical Therapist
- Costa Mesa, CA
National Provider Identifier
1396845988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29998
- Practice address
- 485 E 17TH St
602
Costa Mesa, CA 92627-3265 - Phone
- (949) 722-7374
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29998 | CA | Primary |
Addresses
Primary practice location
485 E 17TH St
602
Costa Mesa, CA 92627-3265
Mailing address
1100 Rutland Rd Apt 8
Newport Beach, CA 92660-4601
Phone (323) 828-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
485 E 17TH St
Suite 650
Costa Mesa, CA 92627-4706
Phone (949) 722-7374
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.28 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 54.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396845988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 RUTLAND RD APT 8",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926604601",
"telephone_number": "323-828-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 E 17TH ST",
"address_2": "602",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273265",
"telephone_number": "949-722-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "WILLIAM",
"middle_name": "MARSHALL",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.