Active NPI
Gina Guharoy-Raval, MSPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1811059793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01353600
- Practice address
- 1616 Walnut St
Ste. 210
Philadelphia, PA 19103-5313 - Phone
- (215) 545-8717
- Fax
- (215) 545-9355
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018432 | PA | |
| Physical Therapist | 225100000X | 40QA01353600 | NJ | Primary |
Addresses
Primary practice location
1616 Walnut St
Ste. 210
Philadelphia, PA 19103-5313
Mailing address
420 Bainbridge St
Philadelphia, PA 19147-1568
Phone (215) 629-3837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT018432 | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.57 of 100
- Quality
- 86.68
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 89.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| Rothman Orthopaedics of New Jersey, LLC | Current | Accepting new patients | |
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Orthopedic and Sports Physical Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
999 Route 73 N
Fl 3
Marlton, NJ 08053
999 Route 73 N
Ste 401
Marlton, NJ 08053
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
-
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
- Physical Therapist
- Philadelphia, PA
- NPI 1750331864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1811059793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 BAINBRIDGE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471568",
"telephone_number": "215-629-3837",
"fax_number": "215-619-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 WALNUT ST",
"address_2": "STE. 210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035313",
"telephone_number": "215-545-8717",
"fax_number": "215-545-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUHAROY-RAVAL",
"first_name": "GINA",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018432",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01353600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT018432",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.