Gayle Patricia Alis-Brown, DPT
Individual provider Active NPI Physical Therapist · Clermont, FL
NPI 1609965037 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1609965037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT37322 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
17445 US Hwy 192
Suite 15
Clermont, FL 34714-7016
Phone (352) 717-2224
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902003478 | FL | Practitioner - Physical Therapist in Private Practice | 9537239033 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30087 | CA | MD | Physical Therapist |
| PT37322 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37322 | FL | Yes |
| 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
Other providers in Clermont, FL
- Nicholas Alford
- Shanika Alfred
- Abbas Syed Ali
- Saeed Ali
- Kaylynn Marie Alicea
- Alisa L Lewis LLC
- Alive & Well Corp
- All Character Care
- All Character Care
- Heather Renae Allen
All providers in Clermont, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.