Fabiola Susana Gill, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51987 Issued in CA

Practice address

4990 Rocklin Rd Ste B
Rocklin, CA 95677-4315

Phone

(916) 632-2273

Fax

(916) 632-2279

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Vibrantcare Outpatient Rehabilitation of California Inc

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1154325769
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1598450496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 ROCKLIN RD STE B",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774315",
            "telephone_number": "916-632-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 ROCKLIN RD STE B",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774315",
            "telephone_number": "916-632-2273",
            "fax_number": "916-632-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "FABIOLA",
        "middle_name": "SUSANA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica T Gianni, NP
• Kristina Nicole Gianola
• Joshua Michael Gideons
• Leslie Gier
• Patrick Talor Gilberg
• Gurpreet Kaur Gill, FNP
• Mackenzi Gill
• Noel Angelica Gillaspie
• Michelle Gillmore
• Alyson Gini

• Physical Therapy Assistant in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.