Individual provider Active NPI

Gina Guharoy-Raval, MSPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1811059793
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01353600 Issued in NJ
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

Updated by the provider on Apr 28, 2026

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 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

IdentifierTypeStateIssuer
PT018432OtherPALICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000661 NJ Practitioner - Physical Therapist in Private Practice 1951483361 Reassigns benefits to 1 organization

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 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 7, 2010 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Nov 7, 2010 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.

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.

Verify at the official NPI Registry.