Gina Marie Herrera Pendleton, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10250 Issued in AL

Practice address

24500 John T Reid Pkwy
Scottsboro, AL 35768-2326

Phone

(214) 704-2040

NPI assigned

Feb 24, 2020

Last updated

Aug 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Scottsboro, AL
  • NPI 1538787510
  Medicare reassignment NPD
• Memorial Hermann Health System

  dba Memorial Hermann Pharmacy-TMC

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1366229619
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1619501228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 JOHN T REID PKWY",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682326",
            "telephone_number": "214-704-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 JOHN T REID PKWY",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682326",
            "telephone_number": "214-704-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 N Swan Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121273",
            "country_code": "US",
            "telephone_number": "520-321-0204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9180 Pinecroft Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803899",
            "country_code": "US",
            "telephone_number": "713-897-2549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "GINA",
        "middle_name": "MARIE HERRERA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31253",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1246411",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina@advanced-pt.com",
            "affiliation": "N",
            "endpointDescription": "Advanced Physical Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Advanced Physical Therapy",
            "address_1": "24500 John T Reid Pkwy",
            "city": "Scottsboro",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357682326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northland Hearing Centers, Inc. (Center for Hearing Scottsboro)
• Amanda Oconnor, B.S.
• Open MRI of Scottsboro, LLC
• Parks Avenue Drugs
• Charis W Peek, NP
• Olivia Elliott Peters, MD
• Coty Phillips Johnson, CRNP
• Stephanie Grider Phillips, CRNP
• David Pierce, D.C.
• Jackson Morgan Pierce, DC

• Physical Therapist in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.