Individual provider Active NPI

Janice Gullas Pabellano, PT, DPT, GCS

  • Physical Therapist
  • Roswell, NM
National Provider Identifier
1760105803
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2025-0171 Issued in NM
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20250922001835 NM Practitioner - Physical Therapist in Private Practice 0446754493 Reassigns benefits to 1 organization

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
Spine and Orthopedic Center of New Mexico PCGroup PAC ID 3870727175, 9 clinicians

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

LicenseStateTypeSpecialty
PT-2025-0171NMMDPhysical Therapist
003939WVMDPhysical Therapist
GE210258WVMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Memorial Homecare, LLC CurrentSince Sep 1, 2022 Accepting new patients
Spine and Orthopedic Center of New Mexico PC CurrentSince Jul 2, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/7206/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.