Active NPI
Johanna J Gill, MSPT
- Physical Therapist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009117A
- Practice address
- 5949 W Raymond St
Indianapolis, IN 46241-4348 - Phone
- (317) 390-5575
- Fax
- (317) 486-2189
- NPI assigned
- Mar 22, 2006
- 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 | 0264751 | NY | |
| Physical Therapist | 225100000X | 05009117A | IN | Primary |
Addresses
Primary practice location
5949 W Raymond St
Indianapolis, IN 46241-4348
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000509686 | Other | IN | ANTHEM ID |
| 200850220 | Medicaid | IN | |
| 02648722 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5949 W Raymond St
Indianapolis, IN 46241-4348
Phone (317) 247-1579
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.3 of 100
- Quality
- 88.48
- Improvement activities
- 40
- Cost
- 72.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009117A | IN | MD | Physical Therapist |
| 0264751 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
10651 E US Highway 36
Avon, IN 46123
Phone (317) 677-0174
14641 Thatcher Ln
Ste 17
Carmel, IN 46032
Phone (317) 819-6080
1675 N National Rd
Columbus, IN 47201
Phone (812) 799-1257
11681 Brooks School Rd
Ste 1
Fishers, IN 46037
Phone (317) 813-0148
2421 N Morton St
Franklin, IN 46131
Phone (317) 738-4401
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
1555 S Harding St
Bldg K301
Indianapolis, IN 46221
6920 Gatwick Dr
Ste 120
Indianapolis, IN 46241
Phone (317) 856-1162
9302 N Meridian St
Ste 190
Indianapolis, IN 46260
Phone (317) 843-1270
5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593
6810 Shore Ter
Indianapolis, IN 46254
Phone (317) 290-1177
506 E Southway Blvd
Kokomo, IN 46902
Phone (765) 626-0299
3218 Daugherty Dr
Ste 160
Lafayette, IN 47909
Phone (765) 477-6464
14660 Herriman Blvd
Ste 300
Noblesville, IN 46060
Phone (317) 774-7744
2656 E Main St
Ste 165
Plainfield, IN 46168
Phone (219) 213-7030
6345 Crawfordsville Rd
Ste B
Speedway, IN 46224
Phone (317) 808-9809
2718 US Highway 52 W
Ste C
West Lafayette, IN 47906
Phone (765) 237-3508
3440 E State Road 32
Ste A1
Westfield, IN 46074
Phone (317) 785-7088
6058 Whitestown Pkwy
Whitestown, IN 46075
Phone (317) 769-1082
Organizations & group practices 2
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
- Indianapolis, IN
- NPI 1316940505
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1710946223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5949 W RAYMOND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462414348",
"telephone_number": "317-390-5575",
"fax_number": "317-486-2189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "JOHANNA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0264751",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009117A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID",
"identifier": "000000509686",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200850220",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02648722",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.