Individual provider Active NPI

Gina J Ohmann, PHYSICAL THERAPIST

  • Physical Therapist
  • Indian Trail, NC
National Provider Identifier
1477845675
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11328 Issued in NC
Practice address
4705 Indian Trail Fairview Rd
Indian Trail, NC 28079-8515
Phone
(704) 882-3105
Fax
(704) 882-3762
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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 11328 NC Primary

Addresses

Primary practice location

4705 Indian Trail Fairview Rd
Indian Trail, NC 28079-8515

Mailing address

4705 Indian Trail Fairview Rd
Indian Trail, NC 28079-8515
Phone (704) 882-3105

Other names 1

  • Gina G Johnson Former name

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
11328NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc. Past Accepting new patients
Physiotherapy Associates, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1477845675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 INDIAN TRAIL FAIRVIEW RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798515",
            "telephone_number": "704-882-3105",
            "fax_number": "704-882-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 INDIAN TRAIL FAIRVIEW RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798515",
            "telephone_number": "704-882-3105",
            "fax_number": "704-882-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHMANN",
        "first_name": "GINA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "JOHNSON",
            "middle_name": "G",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.