Active NPI
Gayle Patricia Alis-Brown, DPT
- Physical Therapist
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37322
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| 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
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1669441911
-
- Physical Therapy Clinic/Center
- Ocoee, FL
- NPI 1417926700
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
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.