DR. GINA NICOLE PHILLIPS (PT, DPT) – Orthopedic Physical Therapist, NPI 1164940722

DR. GINA NICOLE PHILLIPS (PT, DPT) is a healthcare provider. based in Miamisburg, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT017072 (OH). The NPI Number for DR. GINA NICOLE PHILLIPS (PT, DPT) is 1164940722

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. GINA NICOLE PHILLIPS (PT, DPT)
NPI
1164940722
Phone
(513) 354-3700
Address
2835 MIAMI VILLAGE DR
Enumeration Date
5 September 2017
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073766363
Graduation Year
2017 (9 years ago)
PAC ID
6800160110
Group Practice PAC ID
5597744037
Professional Enrollment ID
I20210630001154
Address ID
AK996546677WA650XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for DR. GINA NICOLE PHILLIPS (PT, DPT)

  • 2835 MIAMI VILLAGE DR

    MIAMISBURG, OH 45342

    Phone: (513) 354-3700

    Fax: (513) 354-7651

    Type: Location

  • 3750 E COUNTRY FIELD CIR

    WASILLA, AK 996546659

    Phone: (907) 376-7334

    Type: Mailing

  • Harrison Avenue, Cyclorama Heights, Cincinnati, Hamilton County, Ohio, 45211, United States

    CINCINNATI, OH 452477961

    Phone: (513) 354-3700

    Fax: (513) 354-7651

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210630001154IPhysical Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597744037View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTN
-AK
Physical Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Physical Therapist In Private PracticeND
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

Can I cross-check DR. GINA NICOLE PHILLIPS (PT, DPT) using NPI 1164940722?
NPI 1164940722 belongs to DR. GINA NICOLE PHILLIPS (PT, DPT); compare other details if you need extra assurance.
Active or inactive — what applies to DR. GINA NICOLE PHILLIPS (PT, DPT)?
You should see DR. GINA NICOLE PHILLIPS (PT, DPT) as active in CMS-hosted NPPES data.
What kind of doctor is DR. GINA NICOLE PHILLIPS (PT, DPT)?
DR. GINA NICOLE PHILLIPS (PT, DPT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. GINA NICOLE PHILLIPS (PT, DPT)?
Travel planning: use Miamisburg, Ohio as the reference point for DR. GINA NICOLE PHILLIPS (PT, DPT), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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