Active NPI
Gina Wyatt
- Physical Therapist
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11157
- Practice address
- 2851 S Avenue B
Yuma, AZ 85364-7726 - Phone
- (800) 391-9477
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 11157 | AZ | Primary |
Addresses
Primary practice location
2851 S Avenue B
Yuma, AZ 85364-7726
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1730 Savannah Hwy
Charleston, SC 29407-6255
Phone (843) 763-4115
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 89.43
- Improvement activities
- 40
- Cost
- 74.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11157 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Associated Rehabilitation Physical and Occupational Therapy, PLLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33299 Collection Ctr Dr
Chicago, IL 60693
325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147
1730 Savannah Hwy
Charleston, SC 29407
Phone (843) 763-4115
1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495
180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940
9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140
5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211
2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268
1718 State Rd
Ste 7D
Summerville, SC 29486
Phone (843) 303-9418
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.
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
dba Ati Physical Therapy
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Yuma, AZ
- NPI 1871031583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1558765321",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 S AVENUE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647726",
"telephone_number": "800-391-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.