Individual provider Active NPI

Gina M La Tulipe, P.T.

  • Physical Therapist
  • San Ramon, CA
National Provider Identifier
1770566168
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 23994 Issued in CA
Practice address
350 Bollinger Canyon LN
Ste a
San Ramon, CA 94582-4592
Phone
(925) 735-6414
Fax
(925) 735-6450
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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 PT 23994 CA Primary

Addresses

Primary practice location

350 Bollinger Canyon LN
Ste a
San Ramon, CA 94582-4592

Mailing address

2000 Garden Rd
Monterey, CA 93940-5313
Phone (831) 375-1885

Other names 1

  • Gina M Alfisi Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001315 WY Practitioner - Physical Therapist in Private Practice 2668483900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoskinson Health and Wellness Clinic LLCGroup PAC ID 1153706346, 54 clinicians
Momentum Physical TherapyGroup PAC ID 7214233873, 4 clinicians

Practice addresses (Care Compare)

201 W Lakeway Rd
Suite 200
Gillette, WY 82718-6341
Phone (307) 387-9850

305 E Lakeway Rd
Gillette, WY 82718-6301
Phone (307) 696-6045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 23994CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC Current Accepting new patients
NPI 1558040766 CurrentSince Aug 19, 2025 Accepting new patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Aug 19, 2025 Accepting new patients

Locations

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

201 W Lakeway Rd
Ste 200
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gina.la.tulipe.1@26742.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1770566168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GARDEN RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405313",
            "telephone_number": "831-375-1885",
            "fax_number": "831-375-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOLLINGER CANYON LN",
            "address_2": "STE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824592",
            "telephone_number": "925-735-6414",
            "fax_number": "925-735-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA TULIPE",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 23994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "ALFISI",
            "middle_name": "M",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.