Active NPI
Gabriel Whitney, PT, DPT
- Physical Therapist
- Rowley, MA
National Provider Identifier
1841679263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22689
- Practice address
- 303 Haverhill St Ste 2
Rowley, MA 01969-2101 - Phone
- (978) 948-5511
- Fax
- (978) 948-5515
- NPI assigned
- May 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 22689 | MA | Primary |
| Physical Therapist | 225100000X | 1259168 | TX |
Addresses
Primary practice location
303 Haverhill St Ste 2
Rowley, MA 01969-2101
Mailing address
50 Apple Rd Apt 23
Beverly, MA 01915-5386
Phone (419) 565-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170111000580 | MA | Practitioner - Physical Therapist in Private Practice | 9638481641 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports Medicine North Orthopaedic Surgery, Inc.
Practice addresses (Care Compare)
1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350
2 1St Ave
Suite 211
Peabody, MA 01960-4962
Phone (978) 818-6350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22689 | MA | MD | Physical Therapist |
| 1259168 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine North Orthopaedic Surgery, Inc | Physical Therapist | Current | Accepting new patients |
| Sports Medicine North Orthopaedic Surgery, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562
Interoperability endpoints
- gabriel.whitney.1@7605.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Specialist
- Peabody, MA
- NPI 1760423719
MA, Physical Therapist
-
- Multi-Specialty Clinic/Center
- Gloucester, MA
- NPI 1679168652
Physical Therapist
-
- Specialist
- Newburyport, MA
- NPI 1437380698
-
- Specialist
- Beverly, MA
- NPI 1376077552
-
- Orthopedic Physical Therapist
- Peabody, MA
- NPI 1861837015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1841679263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 APPLE RD APT 23",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155386",
"telephone_number": "419-565-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 HAVERHILL ST STE 2",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019692101",
"telephone_number": "978-948-5511",
"fax_number": "978-948-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "GABRIEL",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-19",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22689",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1259168",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rowley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.