Carla Gain, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070-005647 Issued in IL

Practice address

118 Westhaven School Rd
Belleville, IL 62220-3264

Phone

(618) 257-9201

Fax

(618) 257-9201

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Belleville School District 118

  • Local Education Agency (LEA)
  • Belleville, IL
  • NPI 1467590166
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1467965939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W A ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201326",
            "telephone_number": "618-234-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WESTHAVEN SCHOOL RD",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203264",
            "telephone_number": "618-257-9201",
            "fax_number": "618-257-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIN",
        "first_name": "CARLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070-005647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Fuhrmann
• Latanya Deneen Fulton, CERTIFIED DOULA
• Phyllis Gabbart, APRN
• Christopher Patrick Gagen
• Marissa Gagliardi
• Oscar Raynomd Gain Jr., P.T.
• Holly Deanne Gamroth
• Lindsey Garcia
• James William Gardner, MA, LCPC,CADC
• Nichole Gardner

• Pediatric Physical Therapist in Belleville, IL
• Providers in Belleville, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.