Gina Pugaczewski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19664

Practice address

7405 Dailey LN
Camp Lejeune, NC 28547-4507

Phone

(443) 845-0137

NPI assigned

Oct 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gina Corey Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1992467377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 DAILEY LN",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285474507",
            "telephone_number": "443-845-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 DAILEY LN",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285474507",
            "telephone_number": "443-845-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGACZEWSKI",
        "first_name": "GINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "P19664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "30629242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "014625289-01",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gina",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "address_1": "7405 Dailey Ln",
            "city": "Camp Lejeune",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285474507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "COREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Powell, RN, AGCNS, BC, CWCN
• Obie M. Powell, M.D.
• Sarah Grace Prelaz, DO
• Kimberly Ann Preuss, PHARMD
• Morgan Victoria Price, MD
• Laverene Marie Pyle, MPT
• Roger Reagan Quach, MD
• Nicholas Anthony Quarto, SOIDC
• Evelyn M Quattrone, CNM
• Richard Douglas Quattrone, D.O.

• Physical Therapist in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.