Active NPI
Gina Epifano, PT
- Physical Therapist
- Brentwood, MO
National Provider Identifier
1568704534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3742
- Practice address
- 1335 Strassner Dr
Brentwood, MO 63144-1872 - Phone
- (844) 518-9663
- NPI assigned
- Mar 18, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 3742 | SC | Primary |
Addresses
Primary practice location
1335 Strassner Dr
Brentwood, MO 63144-1872
Mailing address
1335 Strassner Dr
Brentwood, MO 63144-1872
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3742 | SC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1568704534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 STRASSNER DR",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "631441872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 STRASSNER DR",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "631441872",
"telephone_number": "844-518-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPIFANO",
"first_name": "GINA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.