Individual provider Active NPI

Gina M Williams, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1962687442
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029964-1 Issued in NY
Practice address
10545 Avenue M
Brooklyn, NY 11236-4603
Phone
(516) 715-2601
Fax
(516) 530-1960
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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 10701 CT
Physical Therapist 225100000X 029964-1 NY Primary

Addresses

Primary practice location

10545 Avenue M
Brooklyn, NY 11236-4603

Mailing address

10545 Avenue M
Brooklyn, NY 11236-4603
Phone (516) 715-2601

Other names 1

  • Dr. Gina Williams Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000868 NY Practitioner - Physical Therapist in Private Practice 7113004052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobility Health Physical Therapy PLLCGroup PAC ID 5193246775, 5 clinicians

Practice addresses (Care Compare)

10545 Ave M
Brooklyn, NY 11236-4603
Phone (212) 499-4962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010701CTMDSocial Worker
10701CTMDSocial Worker
029964-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Health Physical Therapy PLLC Physical Therapist CurrentSince Jan 21, 2025 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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1962687442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364603",
            "telephone_number": "516-715-2601",
            "fax_number": "516-530-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364603",
            "telephone_number": "516-715-2601",
            "fax_number": "516-530-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "10701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029964-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "WILLIAMS",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.