Individual provider Active NPI

Gabrielle Falciano, PT, DPT, ATC

  • Physical Therapist
  • Hanover, MA
National Provider Identifier
1801354287
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
645 Washington St
Hanover, MA 02339-2384
Phone
(781) 924-6365
Fax
(781) 924-3454
NPI assigned
Mar 5, 2019
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Athletic Trainer 2255A2300X NU

Addresses

Primary practice location

645 Washington St
Hanover, MA 02339-2384

Mailing address

940 N Damen Ave Apt 2R
Chicago, IL 60622-5164
Phone (516) 404-0144

Other practice location 1

1640 W Roosevelt Rd Ste 336
Chicago, IL 60608-1316
Phone (312) 413-8043

Other practice location 2

3518 Laclede Ave
Saint Louis, MO 63103-2011
Phone (149) 777-4193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428003689 MO Practitioner - Physical Therapist in Private Practice 1355672445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24583MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince May 1, 2025 Accepting new patients
SSM Health Care Group CurrentSince May 1, 2025 Accepting new patients

Locations

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

3518 Laclede Ave
Saint Louis, MO 63103
Phone (314) 977-2323

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1801354287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N DAMEN AVE APT 2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225164",
            "telephone_number": "516-404-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392384",
            "telephone_number": "781-924-6365",
            "fax_number": "781-924-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 W Roosevelt Rd Ste 336",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081316",
            "country_code": "US",
            "telephone_number": "312-413-8043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3518 Laclede Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631032011",
            "country_code": "US",
            "telephone_number": "149-777-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCIANO",
        "first_name": "GABRIELLE",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.