Individual provider Active NPI

Gabrielle Hannah Wirick, PT, DPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1508505603
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014262A Issued in IN
Practice address
11112 Pacific Ave S
Tacoma, WA 98444-5749
Phone
(253) 537-1103
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 05014262A IN Primary

Addresses

Primary practice location

11112 Pacific Ave S
Tacoma, WA 98444-5749

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

3001 S Creasy Ln
Lafayette, IN 47905-5206
Phone (765) 474-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230403000073 NM Practitioner - Physical Therapist in Private Practice 8527433705 Reassigns benefits to 1 organization
I20240925000610 WA Practitioner - Physical Therapist in Private Practice 8527433705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

11112 Pacific Ave S
Tacoma, WA 98444-5749
Phone (253) 537-1103

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05014262AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Sep 18, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 18, 2024 Accepting new patients
Swedish Health Services Past Accepting new patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist PastSince Apr 1, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1220 Camino del Llano
Belen, NM 87002
Phone (505) 861-1200

535 Highway 314 SW
Los Lunas, NM 87031
Phone (505) 861-1200

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

1570 W Armory Way
Ste 103
Seattle, WA 98119
Phone (206) 494-0459

11112 Pacific Ave S
Tacoma, WA 98444
Phone (253) 537-1103

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1508505603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11112 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445749",
            "telephone_number": "253-537-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479055206",
            "country_code": "US",
            "telephone_number": "765-474-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRICK",
        "first_name": "GABRIELLE",
        "middle_name": "HANNAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014262A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.

Verify at the official NPI Registry.