Individual provider Active NPI

Gina Nasrah, PT

  • Physical Therapist
  • Redwood City, CA
National Provider Identifier
1801943444
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27483 Issued in CA
Practice address
200 Redwood Shores Pkwy
Redwood City, CA 94065-1100
Phone
(650) 593-2800
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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 PT27483 CA Primary

Addresses

Primary practice location

200 Redwood Shores Pkwy
Redwood City, CA 94065-1100

Mailing address

328 Halyard LN
Foster City, CA 94404-4603
Phone (510) 409-1741

Other identifiers 1

IdentifierTypeStateIssuer
PT27483OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27483CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Physical Therapy and Pilates Wellness PC Physical Therapist Current Accepting new patients

Organizations & group practices 1

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1801943444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 HALYARD LN",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944044603",
            "telephone_number": "510-409-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 REDWOOD SHORES PKWY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651100",
            "telephone_number": "650-593-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRAH",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT27483",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.