Gail Frances Case – Physical Therapist

Key facts

NPI: 1508338153
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 004261 (CT)
Practice address: 79 Simonds Ave
Collinsville, CT 06019-3239
Phone: (860) 216-7630
Fax: (203) 813-5850
NPI assigned: Dec 20, 2018
Sex: Female
Sole proprietor: No

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.

Fox Rehab PT CT, LLC Physical Therapist · Wilton, CT · NPI 1245584234

Medicare reassignment Care Compare group NPD CT · PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 1990
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Fox Rehab PT CT, LLC (76 clinicians)

Practice addresses (Care Compare)

Southbury, CT 06488
Phone (877) 407-3422

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190430003005	CT	Practitioner - Physical Therapist in Private Practice	1658613229	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
006421	CT	MD	Physical Therapist
004261	CT	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Fox Rehab PT CT, LLC	Physical Therapist	Current since Mar 23, 2019	Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	006421	CT
Physical Therapist	225100000X	004261	CT	Yes

Addresses

Primary practice location

79 Simonds Ave
Collinsville, CT 06019-3239

Mailing address

79 Simonds Ave
Collinsville, CT 06019-3239
Phone (860) 216-7630

Other names

Ms. Gail Frances Case Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2019.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1508338153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SIMONDS AVE",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193239",
            "telephone_number": "860-216-7630",
            "fax_number": "203-813-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SIMONDS AVE",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193239",
            "telephone_number": "860-216-7630",
            "fax_number": "203-813-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "GAIL",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006421",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "CASE",
            "middle_name": "FRANCES",
            "prefix": "MS.",
            "credential": "PHYSICAL THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Collinsville, CT

All providers in Collinsville, CT · Physical Therapist in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.