Individual provider Active NPI

Gina Marie Vincent, PT, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1629760137
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
232462 Issued in AK
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

Updated by the provider on Mar 17, 2025

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 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, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230815001094 NC Practitioner - Physical Therapist in Private Practice 7719349349 Reassigns benefits to 2 organizations
I20240502003720 IN Practitioner - Physical Therapist in Private Practice 7719349349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
232462AKMDPhysical Therapist
PT020485OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Jun 5, 2023 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 5, 2023 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 5, 2023 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.

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.

Verify at the official NPI Registry.