Individual provider Active NPI

Deborah M Gulbrandson, PT

  • Physical Therapist
  • Cary, IL
National Provider Identifier
1730254202
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070002571 Issued in IL
Practice address
2615 Three Oaks Rd
Suite 1a
Cary, IL 60013
Phone
(847) 516-8095
Fax
(847) 516-8098
NPI assigned
Nov 21, 2006
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070002571 IL Primary

Addresses

Primary practice location

2615 Three Oaks Rd
Suite 1a
Cary, IL 60013

Mailing address

2615 3 Oaks Rd 1a
Cary, IL 60013-6123
Phone (847) 516-8095

Other names 1

  • Mrs. Deborah Morris Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Physical Therapy Physical Therapist PastSince Nov 19, 2003 Accepting new patients
Rehab Management Specialists, PC Physical Therapist PastSince Dec 1, 2004 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1730254202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 3 OAKS RD 1A",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600136123",
            "telephone_number": "847-516-8095",
            "fax_number": "847-516-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 THREE OAKS RD",
            "address_2": "SUITE 1A",
            "city": "CARY",
            "state": "IL",
            "postal_code": "60013",
            "telephone_number": "847-516-8095",
            "fax_number": "847-516-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULBRANDSON",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070002571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MORRIS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.