Individual provider Active NPI

Gabrielle Hofilena, DPT

  • Physical Therapist
  • San Rafael, CA
National Provider Identifier
1639910672
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309875 Issued in CA
Practice address
1099 D St Ste 105
San Rafael, CA 94901-2839
Phone
(415) 532-8335
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 40QA02256100 NJ
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 309875 CA Primary

Addresses

Primary practice location

1099 D St Ste 105
San Rafael, CA 94901-2839

Mailing address

19 Macopin CT
Livingston, NJ 07039-2948
Phone (973) 356-1586

Other practice location 1

947 Worcester St
Natick, MA 01760-2032
Phone (508) 720-0258

Other practice location 2

2 Pidgeon Hill Dr Ste 350
Sterling, VA 20165-6148
Phone (571) 306-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MA, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240625001433 DC Practitioner - Physical Therapist in Private Practice 4183167620 Reassigns benefits to 1 organization
I20240807000972 VA Practitioner - Physical Therapist in Private Practice 4183167620 Reassigns benefits to 1 organization
I20241018000431 MA Practitioner - Physical Therapist in Private Practice 4183167620 Reassigns benefits to 1 organization
I20260522000802 CA Practitioner - Physical Therapist in Private Practice 4183167620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

1099 D St
San Rafael, CA 94901-2829
Phone (415) 532-8335

947 Worcester St
Natick, MA 01760-2032
Phone (508) 720-0258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309875CAMDPhysical Therapist
40QA02256100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Single Specialty CurrentSince Jun 17, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Single Specialty CurrentSince Oct 13, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

947 Worcester St
Natick, MA 01760
Phone (508) 720-0258

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

46262 Cranston St
Ste 115B
Sterling, VA 20165
Phone (571) 306-4113

2 Pidgeon Hill Dr
Ste 350
Sterling, VA 20165
Phone 5187861667220

Organizations & group practices 5

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1639910672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MACOPIN CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392948",
            "telephone_number": "973-356-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 D ST STE 105",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012839",
            "telephone_number": "415-532-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 Worcester St",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017602032",
            "country_code": "US",
            "telephone_number": "508-720-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Pidgeon Hill Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201656148",
            "country_code": "US",
            "telephone_number": "571-306-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFILENA",
        "first_name": "GABRIELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02256100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.