Individual provider Active NPI

Gabrielle Ilyes, PT, DPT

  • Orthopedic Physical Therapist
  • Shrewsbury, PA
National Provider Identifier
1982434700
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT032547 Issued in PA
Practice address
558 Shrewsbury Commons Ave
Shrewsbury, PA 17361-1615
Phone
(717) 803-3344
Fax
(717) 283-2990
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT032547 PA Primary

Addresses

Primary practice location

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361-1615

Mailing address

4750 Lindle Rd Ste 100
Harrisburg, PA 17111-2428
Phone (717) 803-3342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924001804 PA Practitioner - Physical Therapist in Private Practice 5890236335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361-1615
Phone (717) 803-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT032547PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHM Physical Therapy Institute LLC Orthopedic Current Accepting new patients
LHM Physical Therapy Institute LLC CurrentSince Aug 2, 2024 Accepting new patients

Locations

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1982434700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINDLE RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112428",
            "telephone_number": "717-803-3342",
            "fax_number": "717-974-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SHREWSBURY COMMONS AVE",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611615",
            "telephone_number": "717-803-3344",
            "fax_number": "717-283-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYES",
        "first_name": "GABRIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT032547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.