Active NPI
Janice Gullas Pabellano, PT, DPT, GCS
- Physical Therapist
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2025-0171
- Practice address
- 400 N Pennsylvania Ave Unit 101
Roswell, NM 88201-4754 - Phone
- (575) 623-9101
- NPI assigned
- Sep 23, 2022
- Last updated
- Aug 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003939 | WV | |
| Geriatric Physical Therapist | 2251G0304X | GE210258 | WV | |
| Physical Therapist | 225100000X | PT-2025-0171 | NM | Primary |
Addresses
Primary practice location
400 N Pennsylvania Ave Unit 101
Roswell, NM 88201-4754
Mailing address
1600 N Sycamore Ave Apt 209
Roswell, NM 88201-8823
Phone (704) 691-9773
Other names 1
- Janice Pabellano
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop/tablet | ||
| CONNECT URL | desktop/tablet | Spine and Orthopedic Center of New Mexico PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Pennsylvania Ave
Suite 101
Roswell, NM 88201-4754
Phone (575) 623-9101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2025-0171 | NM | MD | Physical Therapist |
| 003939 | WV | MD | Physical Therapist |
| GE210258 | WV | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Memorial Homecare, LLC | Current | Accepting new patients | |
| Spine and Orthopedic Center of New Mexico PC | Current | Accepting new patients |
Locations
400 N Pennsylvania Ave
Ste 101
Roswell, NM 88201
Phone (575) 623-9101
400 N Pennsylvania Ave
Unit 101
Roswell, NM 88201
Phone (575) 623-9101
298 Tricorn Rd
Danville, WV 25053
Phone (304) 369-1385
Interoperability endpoints
- https://api.platform.athenahealth.com/7206/brand/1/csg/1/fhir/r4
- janice.pabellano.1@7206.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Roswell, NM
- NPI 1972941474
-
dba Boone Memorial HomeCare
- Home Health Agency
- Danville, WV
- NPI 1184848970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1760105803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N SYCAMORE AVE APT 209",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882018823",
"telephone_number": "704-691-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PENNSYLVANIA AVE UNIT 101",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014754",
"telephone_number": "575-623-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABELLANO",
"first_name": "JANICE",
"middle_name": "GULLAS",
"credential": "PT, DPT, GCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "003939",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "WV",
"license": "GE210258",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2025-0171",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop/tablet",
"affiliation": "N",
"address_1": "298 Tricorn Rd",
"city": "Danville",
"state": "WV",
"country_code": "US",
"postal_code": "250537148",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "desktop/tablet",
"affiliation": "Y",
"affiliationName": "Spine and Orthopedic Center of New Mexico PC",
"address_1": "400 N Pennsylvania Ave Unit 101",
"city": "Roswell",
"state": "NM",
"country_code": "US",
"postal_code": "882014754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JANICE",
"last_name": "PABELLANO",
"credential": "PT, DPT, GCS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.