Individual provider Active NPI

Gayle Patricia Alis-Brown, DPT

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1609965037
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37322 Issued in FL
Practice address
2761 Citrus Tower Blvd Ste 103
Clermont, FL 34711-7010
Phone
(352) 227-1757
Fax
(352) 227-1758
NPI assigned
Oct 12, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37322 FL Primary
Physical Therapist 225100000X PT30087 CA

Addresses

Primary practice location

2761 Citrus Tower Blvd Ste 103
Clermont, FL 34711-7010

Mailing address

2761 Citrus Tower Blvd Ste 103
Clermont, FL 34711-7010
Phone (352) 227-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902003478 FL Practitioner - Physical Therapist in Private Practice 9537239033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

17445 US Hwy 192
Suite 15
Clermont, FL 34714-7016
Phone (352) 717-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30087CAMDPhysical Therapist
PT37322FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Jun 26, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 26, 2025 Accepting new patients
Select Physical Therapy Holdings Inc Current Accepting new patients

Locations

17445 US Highway 192
Ste 15
Clermont, FL 34714
Phone (352) 717-2224

2761 Citrus Tower Blvd
Ste 103
Clermont, FL 34711
Phone (352) 227-1757

1915 S Dean Rd
Ste 170
Orlando, FL 32825
Phone (689) 610-7754

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1609965037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 CITRUS TOWER BLVD STE 103",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117010",
            "telephone_number": "352-227-1757",
            "fax_number": "352-227-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 CITRUS TOWER BLVD STE 103",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117010",
            "telephone_number": "352-227-1757",
            "fax_number": "352-227-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIS-BROWN",
        "first_name": "GAYLE",
        "middle_name": "PATRICIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37322",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

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