Gabrielle Atkins, PT
Individual provider Active NPI Physical Therapist · Manitowoc, WI
NPI 1780428508 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1780428508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16864 (WI)
- Practice address
- 1111 Bayshore Dr
Manitowoc, WI 54220-5548 - Phone
- (920) 793-7570
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16864 | WI | MD | Physical Therapist |
Interoperability endpoints
- gatkins370256@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16864 | WI | Yes |
Addresses
Primary practice location
1111 Bayshore Dr
Manitowoc, WI 54220-5548
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100281176 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | gatkins370256@direct.myadvocateaurora.org | Direct |
Other providers in Manitowoc, WI
- Debra L Arrowood
- Nicole Artamenko
- Bryanna Kim Ashenbrener
- Assisted Living Concepts Inc
- Thomas Seppo Asuma
- David E Augustine
- Aurora Medical Group, Inc
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
All providers in Manitowoc, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.