Individual provider Active NPI

Johanna J Gill, MSPT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1710946223
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009117A Issued in IN
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

Updated by the provider on Jan 3, 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 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

IdentifierTypeStateIssuer
000000509686OtherINANTHEM ID
200850220MedicaidIN
02648722MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000836 IN Practitioner - Physical Therapist in Private Practice 0143271320 Reassigns benefits to 1 organization

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
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

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 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05009117AINMDPhysical Therapist
0264751NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Nov 29, 2011 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Nov 29, 2011 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.

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.

Verify at the official NPI Registry.