Active NPI
Gina Marie Vincent, PT, DPT
- Physical Therapist
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 232462
- Practice address
- 4100 Lake Otis Pkwy Ste 106
Anchorage, AK 99508-5230 - Phone
- (907) 563-4115
- NPI assigned
- May 23, 2023
- 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 | PT020485 | OH | |
| Physical Therapist | 225100000X | 232462 | AK | Primary |
Addresses
Primary practice location
4100 Lake Otis Pkwy Ste 106
Anchorage, AK 99508-5230
Mailing address
4100 Lake Otis Pkwy
Anchorage, AK 99508-5229
Phone (907) 563-4115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IN
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232462 | AK | MD | Physical Therapist |
| PT020485 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients |
Locations
4100 Lake Otis Pkwy
Ste 106
Anchorage, AK 99508
Phone (907) 550-6180
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
1044 Sagamore Pkwy W
Unit A
West Lafayette, IN 47906
Phone (765) 250-4445
10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
1259 Highland Dr
Washington, NC 27889
Phone (252) 243-0072
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1669432175
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- 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": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1629760137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085229",
"telephone_number": "907-563-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LAKE OTIS PKWY STE 106",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085230",
"telephone_number": "907-563-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020485",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "232462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.