Individual provider Active NPI

Gayle Reed, M.A., P.T

  • Physical Therapist
  • Parrish, FL
National Provider Identifier
1952304693
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12444 Issued in FL
Practice address
12159 US Highway 301 N
Parrish, FL 34219-8678
Phone
(941) 776-5585
Fax
(941) 776-5655
NPI assigned
May 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 PT12444 FL Primary

Addresses

Primary practice location

12159 US Highway 301 N
Parrish, FL 34219-8678

Mailing address

14400 Lee Rd
Wimauma, FL 33598-7400
Phone (941) 776-1290

Other identifiers 1

IdentifierTypeStateIssuer
Y012HOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150310002442 FL Practitioner - Physical Therapist in Private Practice 7315263308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Realhab IncGroup PAC ID 8325364300, 5 clinicians

Practice addresses (Care Compare)

12159 US Hwy 301 N
Parrish, FL 34219-8678
Phone (941) 776-5855

Merit-based Incentive Payment System (MIPS)

Final score
67.49 of 100Reported as group
Quality
86.23
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PT12444FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Realhab Inc Physical Therapist CurrentSince Mar 10, 2000 Accepting new patients
Runeight Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

8263 US Highway 301 N
Parrish, FL 34219
Phone (941) 776-5585

12159 US Highway 301 N
Ste 104
Parrish, FL 34219
Phone (941) 981-9754

12159 US Highway 301 N
Parrish, FL 34219
Phone (941) 776-5585

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1952304693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 LEE RD",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335987400",
            "telephone_number": "941-776-1290",
            "fax_number": "941-776-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12159 US HIGHWAY 301 N",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198678",
            "telephone_number": "941-776-5585",
            "fax_number": "941-776-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "GAYLE",
        "credential": "M.A., P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y012H",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parrish, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.