Active NPI
Gewiria Fadl, DPT
- Physical Therapist
- Gary, IN
National Provider Identifier
1700485208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013860A
- Practice address
- 3229 Broadway Ste 112
Gary, IN 46409-1040 - Phone
- (219) 980-0167
- Fax
- (219) 980-0198
- NPI assigned
- Oct 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05013860A | IN | Primary |
Addresses
Primary practice location
3229 Broadway Ste 112
Gary, IN 46409-1040
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013860A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers, LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Gary, IN
- NPI 1184001851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1700485208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3229 BROADWAY STE 112",
"city": "GARY",
"state": "IN",
"postal_code": "464091040",
"telephone_number": "219-980-0167",
"fax_number": "219-980-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADL",
"first_name": "GEWIRIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013860A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
- Everest Healthcare Indiana, Inc.
- Excel Medical Transportation
- Excell Community Network, Inc
- Express Transportation Services
- Alexis Shantel Ezell
- Familia Dental Gary PLLC
- Families Anchored in Total Harmony
- Family Medicine Consultants Corp
- Family Medicine Consultants Corp.
- Makeba Q Farley, ACIT II, MATS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.